Provider Demographics
NPI:1992520233
Name:KIDS EMPOWERMENT LLC
Entity type:Organization
Organization Name:KIDS EMPOWERMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MULKI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:612-707-4705
Mailing Address - Street 1:2614 NICOLLET AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1628
Mailing Address - Country:US
Mailing Address - Phone:612-707-4705
Mailing Address - Fax:
Practice Address - Street 1:2614 NICOLLET AVE STE 212
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-1628
Practice Address - Country:US
Practice Address - Phone:612-707-4705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty