Organization Active NPI

Be Empowered Coaching, Inc.

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1831686567
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11710 Issued in FL
Legal business name
BE EMPOWERED COACHING, INC.
Doing business as
Empowering Counseling Services
Practice address
9319 West Sunrise Blvd
Plantation, FL 33322
Phone
(954) 610-8072
Fax
(954) 602-0836
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Ms. Elana Mira Polsyn, LCSW
Title
President
Phone
(954) 610-8072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11710 FL Primary

Addresses

Primary practice location

9319 West Sunrise Blvd
Plantation, FL 33322

Mailing address

9319 W Sunrise Blvd
Plantation, FL 33322-5635
Phone (954) 610-8072

Other practice location 1

9319 W Sunrise Blvd
Plantation, FL 33322-5635
Phone (954) 908-6431

Other names 1

  • Empowering Counseling Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1831686567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225635",
            "telephone_number": "954-610-8072",
            "fax_number": "954-602-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 WEST SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "954-610-8072",
            "fax_number": "954-602-0836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9319 W Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333225635",
            "country_code": "US",
            "telephone_number": "954-908-6431",
            "fax_number": "954-405-8796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BE EMPOWERED COACHING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "POLSYN",
        "authorized_official_first_name": "ELANA",
        "authorized_official_middle_name": "MIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-610-8072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowering Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empowering Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.