Provider Demographics
NPI:1194491415
Name:EMPOWERED PATH PSYCHOTHERAPY FOR ANXIETY AND OCD, PLLC
Entity type:Organization
Organization Name:EMPOWERED PATH PSYCHOTHERAPY FOR ANXIETY AND OCD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER/LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-804-6801
Mailing Address - Street 1:3075 N AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60083-9283
Mailing Address - Country:US
Mailing Address - Phone:847-804-6801
Mailing Address - Fax:
Practice Address - Street 1:3075 N AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:IL
Practice Address - Zip Code:60083-9283
Practice Address - Country:US
Practice Address - Phone:847-804-6801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health