Provider Demographics
NPI:1548978729
Name:DISABILITY EMPOWERMENT CENTER
Entity type:Organization
Organization Name:DISABILITY EMPOWERMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MECK
Authorized Official - Suffix:
Authorized Official - Credentials:MRC, CRC, CDMS
Authorized Official - Phone:206-632-1212
Mailing Address - Street 1:1401 E JEFFERSON ST STE 506
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5570
Mailing Address - Country:US
Mailing Address - Phone:206-632-1212
Mailing Address - Fax:
Practice Address - Street 1:1401 E JEFFERSON ST STE 506
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5570
Practice Address - Country:US
Practice Address - Phone:206-632-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management