1124163035 NPI number — EMPOWERMENT OPTIONS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124163035 NPI number — EMPOWERMENT OPTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMPOWERMENT OPTIONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124163035
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 26188
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78755-0188
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-338-4493
Provider Business Mailing Address Fax Number:
512-338-1555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1106 CLAYTON LN
Provider Second Line Business Practice Location Address:
SUITE 250W
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78723-1066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-338-4493
Provider Business Practice Location Address Fax Number:
512-338-1555
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
EDWARDS
Authorized Official First Name:
GENELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
512-338-4493

Provider Taxonomy Codes

  • Taxonomy code: 320900000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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