Organization
EMPOWERYOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUELL D YARBROUGH LSW (CEO)
(219) 201-9446
Entity
Organization
Contact information
Practice address
7895 BROADWAY STE A, MERRILLVILLE, IN 46410-5529
(219) 247-8938
(219) 293-8221
Mailing address
PO BOX 10613, MERRILLVILLE, IN 46411-0613
(219) 201-9446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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