MEDICARE: EMPOWER

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1730533282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWER

Provider Business Mailing Address
First Line	:	2676 W MAIN ST
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-8910
Country	:	US
Telephone Number	:	919-408-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	2676 W MAIN ST
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-8910
Country	:	US
Telephone Number	:	919-408-6620
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JUDITHE LOUIS
Credential	:	LCSWA
Telephone Number	:	919-408-6620

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	04/21/2016

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Directions to “EMPOWER ” Practice Location

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