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General NPI Number Information
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NPI Number | 1194417006
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Entity Type | Organization
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Legal Business Name | EMPOWERED YOU THERAPY SERVICES LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 2415 PARVIEW RD STE 1
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City | MIDDLETON
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State | WI
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Zip | 53562-2554
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Country | US
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Telephone | 608-515-3327
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 378
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City | CROSS PLAINS
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State | WI
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Zip | 53528-0378
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Country | US
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Telephone | 608-561-1446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SARAH MARTY
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Credential | LCSW
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Telephone | 608-561-1446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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