Amayla Empowerment Association, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AMAYLA EMPOWERMENT ASSOCIATION, LLC

Practice address

435 Julie St Ste 2
Tomah, WI 54660-2924

Phone

(608) 377-3864

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By 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

Amanda Falkers

Title

Co-Owner

Phone

(608) 377-3864

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vang Moua

  • Professional Counselor
  • Sparta, WI
  • NPI 1114782117
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1659065530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 JULIE ST STE 2",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602924",
            "telephone_number": "608-377-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 JULIE ST STE 2",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602924",
            "telephone_number": "608-377-3864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S Black River St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "WI",
            "postal_code": "546562043",
            "country_code": "US",
            "telephone_number": "608-377-3864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMAYLA EMPOWERMENT ASSOCIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "FALKERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "608-377-3864"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Olamide Adegboye, PHARMD
• Jennifer Annette Aeling, PH.D.
• Kevin Agesta Corporan, RN
• Richard Ahn, M.D.
• Genesis Ines Alvarez de Jesus, RN, BSN, BHSA
• Corey Ammons, CAPSW
• Ann Marie Anderson, RN
• Tamara J Anderson, RDN
• Tonya Lee Anderson, RN
• Kari Arch, LCSW

• Multi-Specialty Clinic/Center in Tomah, WI
• Providers in Tomah, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.