Healthcare Provider Details

I. General information

NPI: 1396330056
Provider Name (Legal Business Name): EMPOWER TO HOPE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 03/04/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5589 DUNHAM ROAD
MAPLE HEIGHTS OH
44137
US

IV. Provider business mailing address

9001 PORTAGE POINTE DR. APT I113
STREETSBORO OH
44241-6305
US

V. Phone/Fax

Practice location:
  • Phone: 330-595-4673
  • Fax:
Mailing address:
  • Phone: 216-244-6410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARMELLA MONIQUE HILL
Title or Position: OWNER
Credential: LPCC
Phone: 216-244-6410