Healthcare Provider Details

I. General information

NPI: 1811636467
Provider Name (Legal Business Name): THE EMPOWERMENT NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11747 JEFFERSON AVE STE 4C
NEWPORT NEWS VA
23606-4400
US

IV. Provider business mailing address

11747 JEFFERSON AVE STE 4C
NEWPORT NEWS VA
23606-4400
US

V. Phone/Fax

Practice location:
  • Phone: 757-550-5588
  • Fax: 757-224-4910
Mailing address:
  • Phone: 757-550-5588
  • Fax: 757-224-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NAJMAH CLARKE
Title or Position: OWNER
Credential:
Phone: 757-310-9530