Provider Demographics
NPI:1992435614
Name:EMPOWER THERAPY, LLC
Entity type:Organization
Organization Name:EMPOWER THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:802-272-2676
Mailing Address - Street 1:37 LINCOLN ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3261
Mailing Address - Country:US
Mailing Address - Phone:802-316-8622
Mailing Address - Fax:
Practice Address - Street 1:37 LINCOLN ST STE 1B
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3261
Practice Address - Country:US
Practice Address - Phone:802-316-8622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT6705737Medicaid
VT14240518OtherBLUE CROSS BLUE SHIELD OF VERMONT