MEDICARE: EMPOWERMENT THERAPEUTIC SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	251B00000X	Case Management Agency
3	251E00000X	Home Health Agency
4	261Q00000X	Clinic/Center
5	261QM0850X	Adult Mental Health Clinic/Center
6	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
7	3245S0500X	Children's Substance Abuse Rehabilitation Facility
8	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1427818392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERMENT THERAPEUTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	9507 HULL STREET RD STE 1
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1476
Country	:	US
Telephone Number	:	804-997-3111
Fax Number	:	800-317-6614

Provider Business Practice Location Address
First Line	:	9507 HULL STREET RD STE 1
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1476
Country	:	US
Telephone Number	:	804-845-7084
Fax Number	:	800-317-6614

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. MICHEAL JAMAL MORRIS
Credential	:	RPRS
Telephone Number	:	804-845-7084

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

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Directions to “EMPOWERMENT THERAPEUTIC SERVICES LLC ” Practice Location

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