IMPOWER


Address: 111 W Magnolia Ave, Longwood, FL 32750-4130
Phone: 4072150095

IMPOWER (NPI# 1235546896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235546896
Entity Type Organization
Organization Name IMPOWER
Practice Address 111 W Magnolia Ave
Longwood
FL 32750-4130
Practice Telephone 4072150095
Practice Fax Number 4072610523
Mailing Telephone 4072150095
Mailing Fax Number 4072610523
Enumeration Date 2014-07-16
Last Update Date 2018-03-27
Authorized Official Name ANNA BAZNIK (CEO)
Authorized Official Telephone 4072150095
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 360212500 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205207644 Impower Community/Behavioral Health 3157 N Alafaya Trl, Orlando, FL 32826-2940 2015-10-12
1578965604 Impower Community/Behavioral Health 587 E State Road 434, Suite1021, Longwood, FL 32750-5201 2014-09-19
1326472135 Impower Community/Behavioral Health 222 Broadway, 211, Kissimmee, FL 34741-5781 2013-08-28

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities IMPOWER ENERGY 28 Meadow Rd, Beverly, MA 01915-7205
Oregon Corporations, Companies and Business Names IMPOWER HEALING 265 Se Oak St Ste E, Hillsboro, OR 97123
Oregon Corporations, Companies and Business Names IMPOWER HEALING, LLC 1675 Sw Marlow Ave Ste 210f, Portland, OR 97225
North Carolina Corporations Impower MKTG LLC 1409 Cunningham Street Apt C3, Greensboro, NC 27401
Colorado Business Entities IMPOWER, LLC 11734 W. 33rd Avenue, Wheat Ridge, CO 80033
Colorado Business Entities IMpowered Fitness and Nutrition LLC 1610 River Drive, Fountain, CO 80817
North Carolina Corporations Impowered to XL 1641 Rivermont Dr., Gastonia, NC 28054
Alabama Business Registrations ImPOWERED, INC. 6502 Woodbell, Live Oak, TX 78233
New York State Corporations IMPOWEREDBYME LLC 8062 210th Street, Hollis Hills, Ny 11427

Office Location

Street Address 111 W MAGNOLIA AVE
City LONGWOOD
State FL
Zip Code 32750-4130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780614826 The Grove Counseling Center Inc Counselor 111 W Magnolia Ave, Longwood, FL 32750-4130 2006-07-04
1861950974 Suemi Oliveira Nurse Practitioner 111 W Magnolia Ave, Longwood, FL 32750-4130 2019-03-07
1649742495 Kimberly Coleman Case Management 111 W Magnolia Ave, Longwood, FL 32750-4130 2018-12-18
1710466768 Christina White Counselor 111 W Magnolia Ave, Longwood, FL 32750-4130 2018-08-10
1184103442 Jamila B Hodge Counselor 111 W Magnolia Ave, Longwood, FL 32750-4130 2018-08-08
1598244857 Noemi Baransky Counselor 111 W Magnolia Ave, Longwood, FL 32750-4130 2018-08-08
1083192082 Julie Langton Social Worker 111 W Magnolia Ave, Longwood, FL 32750-4130 2018-08-01
1790276350 Katherine Bruce Case Manager/Care Coordinator 111 W Magnolia Ave, Longwood, FL 32750-4130 2018-05-19
1093220949 Janessa Liscette Henry Counselor 111 W Magnolia Ave, Longwood, FL 32750 2017-12-13
1427562024 Nialet Alvira Counselor 111 W Magnolia Ave, Longwood, FL 32750-4130 2017-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902420920 Prn Speech Pathologists Speech-Language Pathologist 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 2020-06-05
1831743368 Shamar Anthony Marston Nurse Anesthetist, Certified Registered 555 W Fl - 434, Longwood, FL 32750 2019-08-01
1538639125 Omega Healthcare Solutions, LLC Case Management 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 2018-11-27
1013416080 Samantha Jane Roberts Specialist/Technologist, Other 163 W Bay Ave, Longwood, FL 32750 2018-02-06
1508375874 Cassandra Thompson-bailey Nurse Practitioner 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 2017-09-29
1740799535 Cornerstone Longwood Leasing, LLC Assisted Living Facility 480 E. Church Ave., Longwood, FL 32750 2017-09-25
1659890523 Melissa Shoshana Vigerito Marriage & Family Therapist 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 2017-09-12
1619498185 Calm Relief, LLC Massage Therapist 1855 W State Road 434, Ste 253, Longwood, FL 32750 2017-07-05
1497145148 Caitlin Rhea Hilligas Counselor 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 2015-02-03
1316344054 James David Rawlins Jr. Dentist 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 2014-11-24
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477925261 A Core Connection Community/Behavioral Health 127 Dellwood Dr, Longwood, FL 32750-3948 2015-10-20
1033587795 Individual Provider Community/Behavioral Health 650 Palermo Vista Ct, Longwood, FL 32750-3419 2015-09-10
1194104232 All American Christian Counseling Center,llc Community/Behavioral Health 201 Barry Ct, Longwood, FL 32779-5833 2015-05-21
1841586203 Alternatives In Behavioral Counseling Community/Behavioral Health 1855 W Sr 434, Suite 286, Longwood, FL 32750-5069 2011-06-23
1023269685 Discovery Counseling of Orlando, Inc. Community/Behavioral Health 320 Crown Oak Centre Dr, Longwood, FL 32750-6149 2008-10-01
1922544527 Patricia P. Barber Pa Community/Behavioral Health 500 E Sr 434, Suite 104b, Longwood, FL 32750-5222 2017-01-06
1578965604 Impower Community/Behavioral Health 587 E State Road 434, Suite1021, Longwood, FL 32750-5201 2014-09-19
1750644084 Kwhite Counseling, LLC Community/Behavioral Health 1385 W State Road 434, Longwood, FL 32750-6871 2012-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255932992 Dfd Therapy Services LLC Community/Behavioral Health 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 2020-11-07
1952902611 Tallon Medical Center Inc Community/Behavioral Health 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 2020-11-07
1356942288 Sol Community Center, Corp Community/Behavioral Health 8550 W Flagler St Ste 118, Miami, FL 33144-2037 2020-11-06
1104427632 Sunzup Counseling and Wellness Community/Behavioral Health 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 2020-11-02
1235739806 Twins Medical Services Corp Community/Behavioral Health 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 2020-10-31
1558961110 Family Evolution Mental Health Care Inc Community/Behavioral Health 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 2020-10-31
1538769534 Psycare LLC Community/Behavioral Health 10740 W Flagler St Ste 112, Miami, FL 33174-4405 2020-10-28
1508466533 Exceptional Healthcare Services Corp Community/Behavioral Health 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 2020-10-28
1417556903 Genesis Community Mental Health LLC Community/Behavioral Health 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 2020-10-26
1871192328 Wellness Community & Medical Center Inc Community/Behavioral Health 946 E 25th St, Hialeah, FL 33013-3404 2020-10-25
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Competitor

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City LONGWOOD
Zip Code 32750

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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