=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790407203
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPOWERING RESTORATION, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/13/2022
-----------------------------------------------------
Last Update Date | 09/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 159 18TH ST SW STE 2
-----------------------------------------------------
City | OWATONNA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55060-3982
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-456-0777
-----------------------------------------------------
Fax | 507-413-0409
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 245 18TH ST SE STE 102
-----------------------------------------------------
City | OWATONNA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55060-4062
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-456-0777
-----------------------------------------------------
Fax | 507-413-0409
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BRENDA KAY OJA
-----------------------------------------------------
Credential | MA, LPCC
-----------------------------------------------------
Telephone | 507-456-3466
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------