Empowered Behavioral and Clinical Services LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EMPOWERED BEHAVIORAL AND CLINICAL SERVICES LLC

Practice address

1710 Douglas Dr N Ste 225S
Golden Valley, MN 55422-4365

Phone

(734) 337-0959

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Rukiya Hassan, LICSW

Title

Owner

Phone

(734) 337-0959

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1801503271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 225S",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224365",
            "telephone_number": "734-337-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 225S",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224365",
            "telephone_number": "734-337-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED BEHAVIORAL AND CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "RUKIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-337-0959",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Ellman, LPC
• Ifrah Elmi
• Anne Christine Mackin Emanuel, PT, DPT
• Emergency Physicians Professional Association
• Mary Ellen Emmeck, MA, LMFT
• Endovascular Physicians of Minnesota PLLC
• John England
• Epona Wellness, LTD
• Mikhail G Epshteyn, PHARM.D.
• Caryn Faith Erickson, OTR/L

• Adolescent and Children Mental Health Clinic/Center in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.