Impower

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMPOWER

Practice address

587 E State Road 434
Suite1021
Longwood, FL 32750-5201

Phone

(407) 331-8002

Fax

(407) 331-8659

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lydia Oyola-Diaz, M.ED

Title

Clinician

Phone

(860) 083-7230

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1578965604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 S KIRKMAN RD",
            "address_2": "132",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113214",
            "telephone_number": "860-983-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434",
            "address_2": "SUITE1021",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505201",
            "telephone_number": "407-331-8002",
            "fax_number": "407-331-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPOWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "OYOLA-DIAZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "860-083-7230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120806",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nnaemeka Ijeoma, MS, LMHC
• Illuminating Pathways LLC
• Imad Tahbub MD LLC
• Imaginary Rainbow LLC
• Imedical, Inc. (I Medical Supplies, Inc.)
• Impower, Inc
• Impower, Inc
• In Harmony Counseling LLC
• Individual Provider
• Nicole Louise Ingrando, D.C.

• Community/Behavioral Health Agency in Longwood, FL
• Providers in Longwood, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.