Provider Demographics
NPI:1073300968
Name:EMPOWERED PATH CLINICAL COUNSELING PC
Entity type:Organization
Organization Name:EMPOWERED PATH CLINICAL COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RITTER-INGORVAIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-365-1483
Mailing Address - Street 1:31805 TEMECULA PKWY # D7-308
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-8203
Mailing Address - Country:US
Mailing Address - Phone:951-365-1483
Mailing Address - Fax:
Practice Address - Street 1:41593 WINCHESTER RD # 147
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4860
Practice Address - Country:US
Practice Address - Phone:858-519-9940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty