Provider Demographics
NPI:1144094863
Name:EMPOWER YOU THERAPY SERVICES
Entity type:Organization
Organization Name:EMPOWER YOU THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MTBC
Authorized Official - Phone:253-906-0610
Mailing Address - Street 1:4756 EDISON LN
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2270
Mailing Address - Country:US
Mailing Address - Phone:720-319-8196
Mailing Address - Fax:
Practice Address - Street 1:4756 EDISON LN
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2270
Practice Address - Country:US
Practice Address - Phone:720-319-8196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty