PHILADELPHIA EMPOWERMENT CLINIC PLLC
NPI 1396323440
Community/Behavioral Health in Philadelphia, PA

Active since March 31, 2021
533 E GIRARD AVE # 604, PHILADELPHIA, PA 19125(445) 455-6045(267) 762-4374 Get Directions Write a Review

NPPES record last updated: July 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2023, Mar 31, 2021 (2 updates tracked since 2021).

  • Organization
  • Community/Behavioral Health

About PHILADELPHIA EMPOWERMENT CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Philadelphia Empowerment Clinic Pllc, a provider established in Philadelphia, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1396323440 assigned on March 2021. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Charles. Tyson Lcsw. Bcd (Executive Director)

NPI
1396323440 Verify this NPI
Provider Name
PHILADELPHIA EMPOWERMENT CLINIC PLLC
Entity Type
Organization
Location Address
533 E GIRARD AVE # 604 PHILADELPHIA, PA 19125
Location Phone
(445) 455-6045
Location Fax
(267) 762-4374
Mailing Address
533 E GIRARD AVE # 604 PHILADELPHIA, PA 19125
Mailing Phone
(445) 455-6045
Mailing Fax
(267) 762-4374
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2021
Last Update Date
07-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES. TYSON LCSW. BCD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(445) 455-6045

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
533 E GIRARD AVE # 604
PHILADELPHIA, PA 19125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396323440, enumerated as an "organization" on March 31, 2021.

The provider is located at 533 E GIRARD AVE # 604 PHILADELPHIA, PA 19125 and the phone number is (445) 455-6045.

Community/Behavioral Health with taxonomy code 251S00000X.