Provider Demographics
NPI:1528448800
Name:GUIDED EMPOWERMENT, PC
Entity type:Organization
Organization Name:GUIDED EMPOWERMENT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEBNER
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP
Authorized Official - Phone:402-321-0016
Mailing Address - Street 1:20945 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2122
Mailing Address - Country:US
Mailing Address - Phone:402-321-0016
Mailing Address - Fax:888-507-5931
Practice Address - Street 1:11713 M CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2218
Practice Address - Country:US
Practice Address - Phone:402-933-4411
Practice Address - Fax:888-507-5931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty