Provider Demographics
NPI:1427615780
Name:EMPOWERED LIFE, LLC
Entity type:Organization
Organization Name:EMPOWERED LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARTH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:417-372-2921
Mailing Address - Street 1:3702 W BROADWAY APT 2107
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-0242
Mailing Address - Country:US
Mailing Address - Phone:417-372-2921
Mailing Address - Fax:
Practice Address - Street 1:3702 W BROADWAY APT 2107
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-0242
Practice Address - Country:US
Practice Address - Phone:573-603-3116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty