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NPI Code Detail

MEDICARE: EMPOWER BEHAVIORAL HEALTH LLC

MEDICARE: EMPOWER BEHAVIORAL HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2103TB0200XCognitive & Behavioral Psychologist
3103TC2200XClinical Child & Adolescent Psychologist
4103TM1800XIntellectual & Developmental Disabilities Psychologist
5103K00000XBehavior Analyst

General Provider Information

NPI Number : 1235522285
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWER BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 6222 W IH 10 STE 104
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-2013
Country : US
Telephone Number : 210-447-0039
Fax Number : 210-579-7100
Provider Business Practice Location Address
First Line : 6222 W IH 10 STE 104
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-2013
Country : US
Telephone Number : 210-447-0039
Fax Number : 210-579-7100
Authorized Official
Title or Position : CEO
Name : NATESH KUMAR
Credential :
Telephone Number : 469-855-6311
Provider Enumeration Date : 03/16/2015
Last Update Date : 11/07/2022

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Directions to “EMPOWER BEHAVIORAL HEALTH LLC ” Practice Location

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