Organization
IEMPOWER 3CS2 EMPOWERMENT, INC.
Active
Parent organization
00000
Other names
MHA SOWING SEADS SEL IN HOME CCS
Organization subpart
Yes
Provider details
NPI number
Legal business name
00000
Authorized official
MS. LATRICE FOULES LMSW (DIRECTOR OF OPERATIONS)
(888) 322-8783
Entity
Organization
Contact information
Practice address
3855 W OGDEN AVE, CHICAGO, IL 60623-2459
(773) 329-3268
(888) 322-8783
Mailing address
PO BOX 2006, COUNTRY CLUB HILLS, IL 60478-8106
(773) 329-3268
(888) 322-8783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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