MEDICARE: EMPOWERING OTHERS

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1558206755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERING OTHERS

Provider Business Mailing Address
First Line	:	2502 LAKE MARTIN CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4363
Country	:	US
Telephone Number	:	702-937-7789
Fax Number	:

Provider Business Practice Location Address
First Line	:	2502 LAKE MARTIN CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4363
Country	:	US
Telephone Number	:	702-937-7789
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHNA DEAN
Credential	:
Telephone Number	:	702-937-7789

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “EMPOWERING OTHERS ” Practice Location

Language	Start Address	Practice Location

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