Provider Demographics
NPI:1972395770
Name:EMPOWERED HEALING THERAPY LLC
Entity type:Organization
Organization Name:EMPOWERED HEALING THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DEVORE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:515-800-9515
Mailing Address - Street 1:4401 WESTOWN PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6721
Mailing Address - Country:US
Mailing Address - Phone:515-800-9515
Mailing Address - Fax:
Practice Address - Street 1:4401 WESTOWN PKWY STE 301
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6721
Practice Address - Country:US
Practice Address - Phone:515-800-9515
Practice Address - Fax:515-335-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty