Provider Demographics
NPI:1427842715
Name:EMPOWERED APPROACH, LLC
Entity type:Organization
Organization Name:EMPOWERED APPROACH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:FE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALISTA-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-344-1421
Mailing Address - Street 1:2914 US HIGHWAY 70 W STE D
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-9617
Mailing Address - Country:US
Mailing Address - Phone:919-344-1421
Mailing Address - Fax:
Practice Address - Street 1:1257 BUCK SWAMP ROAD
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:NC
Practice Address - Zip Code:27863
Practice Address - Country:US
Practice Address - Phone:919-344-1421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty