Provider Demographics
NPI:1073309977
Name:EMPOWERED RELATIONSHIPS COUNSELING & WELLNESS, PLLC
Entity type:Organization
Organization Name:EMPOWERED RELATIONSHIPS COUNSELING & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, LPC, LMHC
Authorized Official - Phone:503-217-4317
Mailing Address - Street 1:327 NE 5TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-2030
Mailing Address - Country:US
Mailing Address - Phone:503-217-4317
Mailing Address - Fax:564-227-3042
Practice Address - Street 1:327 NE 5TH AVE STE B
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-2030
Practice Address - Country:US
Practice Address - Phone:503-217-4317
Practice Address - Fax:564-227-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1962736702Medicaid