MEDICARE: THE EMPOWERMENT GROUP 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
1	101YM0800X	Mental Health Counselor	LPC13764	AZ

General Provider Information

NPI Number	:	1235677584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EMPOWERMENT GROUP LLC

Provider Business Mailing Address
First Line	:	10201 S 51ST ST, SUITE 130
Second Line	:
City	:	PHX
State	:	AZ
Zip	:	85044-5215
Country	:	US
Telephone Number	:	602-821-3836
Fax Number	:	602-651-1244

Provider Business Practice Location Address
First Line	:	10201 SOUTH 51ST ST, SUITE 130
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-5215
Country	:	US
Telephone Number	:	602-525-5783
Fax Number	:	602-651-1244

Authorized Official
Title or Position	:	OWNER - THERAPIST
Name	:	MS. MELISSA ANN COX-PASQUA
Credential	:	LPC
Telephone Number	:	602-821-3836

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	05/19/2026

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