Organization
EMPOWERING YOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WANZA LMHC (PROVIDER/PRESIDENT)
(305) 654-7251
Entity
Organization
Contact information
Practice address
530 NW 183RD ST, MIAMI GARDENS, FL 33169-4468
(305) 654-7251
(305) 647-0203
Mailing address
1031 IVES DAIRY RD STE 228, MIAMI GARDENS, FL 33179-2538
(305) 654-7251
(305) 647-0203
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
03/08/2021
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