Provider Demographics
NPI:1316676836
Name:MAY YOU BE EMPOWERED THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:MAY YOU BE EMPOWERED THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYREESE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:302-465-8552
Mailing Address - Street 1:1354 EDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1324
Mailing Address - Country:US
Mailing Address - Phone:130-246-5855
Mailing Address - Fax:
Practice Address - Street 1:1354 EDGEHILL RD
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1324
Practice Address - Country:US
Practice Address - Phone:130-246-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health