Provider Demographics
NPI:1992529580
Name:HOPE EMPOWERED THERAPY LLC
Entity type:Organization
Organization Name:HOPE EMPOWERED THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENCARNACAO
Authorized Official - Suffix:
Authorized Official - Credentials:LGMFT
Authorized Official - Phone:301-252-0387
Mailing Address - Street 1:19901 BELLE CHASE DR
Mailing Address - Street 2:
Mailing Address - City:LAYTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20882-1259
Mailing Address - Country:US
Mailing Address - Phone:301-252-0387
Mailing Address - Fax:
Practice Address - Street 1:19901 BELLE CHASE DR
Practice Address - Street 2:
Practice Address - City:LAYTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20882-1259
Practice Address - Country:US
Practice Address - Phone:301-252-0387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty