=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629917059
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPOWER HAUS, LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2026
-----------------------------------------------------
Last Update Date | 03/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1218 ROCKBRIDGE RD
-----------------------------------------------------
City | STONE MOUNTAIN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30087-3013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-261-9027
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4727 MATTERHORN DR SW
-----------------------------------------------------
City | LILBURN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30047-4631
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-552-3192
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OCCUPATIONAL THERAPIST
-----------------------------------------------------
Name | PARRI SWINSON
-----------------------------------------------------
Credential | OTD
-----------------------------------------------------
Telephone | 770-261-9027
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------