Provider Demographics
NPI:1154119873
Name:EMPOWERMENT THERAPY, INC.
Entity type:Organization
Organization Name:EMPOWERMENT THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DI GIACOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-350-1871
Mailing Address - Street 1:1147 SEA BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-4069
Mailing Address - Country:US
Mailing Address - Phone:949-350-1871
Mailing Address - Fax:
Practice Address - Street 1:1333 S EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-2008
Practice Address - Country:US
Practice Address - Phone:949-350-1871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)