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General NPI Number Information
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NPI Number | 1154119873
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Entity Type | Organization
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Legal Business Name | EMPOWERMENT THERAPY, INC.
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1333 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-2008
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Country | US
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Telephone | 949-350-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 1147 SEA BLUFF DR
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City | COSTA MESA
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State | CA
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Zip | 92627-4069
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Country | US
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Telephone | 949-350-1871
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | GINA DI GIACOMO
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Credential |
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Telephone | 949-350-1871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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