Empowerment Behavioral Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EMPOWERMENT BEHAVIORAL CARE LLC

Practice address

6448 W Colter St
Glendale, AZ 85301-6527

Phone

(623) 206-0557

NPI assigned

Mar 28, 2019

Last updated

Mar 28, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth J Mims

Title

Owner/Program Director

Phone

(602) 507-0320

Specialties & licenses 3

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1528529856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 W COLTER ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016527",
            "telephone_number": "623-206-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 W COLTER ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016527",
            "telephone_number": "623-206-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT BEHAVIORAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "602-507-0320"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yvette@empowermentbc.com",
            "affiliation": "N",
            "address_1": "6448 W Colter St",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853016527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Empact-SPC
• Empathy Wellness LLC
• Empire Dental Esthetics of Arizona
• Empower Phoenix LLC
• Empowering Healing Center, LLC
• Empowermenttreatment & Counseling Center for Wellness
• Empowermenttreatment & Counseling Center for Wellness
• Cynthia Judith Encinas, COTA/L
• Angel Encinias, FNP-C
• Vicente O. Enciso III

• Mental Illness Community Based Residential Treatment Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.