Provider Demographics
NPI:1194417006
Name:EMPOWERED YOU THERAPY SERVICES LLC
Entity type:Organization
Organization Name:EMPOWERED YOU THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:608-561-1446
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:CROSS PLAINS
Mailing Address - State:WI
Mailing Address - Zip Code:53528-0378
Mailing Address - Country:US
Mailing Address - Phone:608-561-1446
Mailing Address - Fax:
Practice Address - Street 1:7334 COUNTY ROAD K
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3917
Practice Address - Country:US
Practice Address - Phone:608-515-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty