Healthcare Provider Details

I. General information

NPI: 1760353460
Provider Name (Legal Business Name): EMPOWERING EDGE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

558 W UWCHLAN AVE STE 7A
EXTON PA
19341-3050
US

IV. Provider business mailing address

213 HIBISCUS WAY
DOWNINGTOWN PA
19335-2716
US

V. Phone/Fax

Practice location:
  • Phone: 240-997-5531
  • Fax:
Mailing address:
  • Phone: 240-997-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. MICHAEL JAMES
Title or Position: OWNER
Credential:
Phone: 240-997-5531