Healthcare Provider Details

I. General information

NPI: 1508794702
Provider Name (Legal Business Name): EMPOWERED YOU: SEX THERAPY OF OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4333 SUNNYBROOK DR SE
WARREN OH
44484-2243
US

IV. Provider business mailing address

4333 SUNNYBROOK DR SE
WARREN OH
44484-2243
US

V. Phone/Fax

Practice location:
  • Phone: 330-219-9953
  • Fax:
Mailing address:
  • Phone: 330-219-9953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE JOHNSON
Title or Position: OWNER
Credential: OTD, MSW, LISW/LCSW
Phone: 330-219-9953