BE EMPOWERED COACHING, INC. (NPI# 1831686567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831686567 |
| Entity Type | Organization |
| Organization Name | BE EMPOWERED COACHING, INC. |
| Practice Address |
11011 Sheridan St Ste 211 Hollywood FL 33026-1531 |
| Mailing Address |
9319 W Sunrise Blvd Plantation FL 33322-5635 |
| Practice Telephone | 9542355464 |
| Practice Fax Number | 9543376242 |
| Mailing Telephone | 9542355464 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | MS. ELANA MIRA POLSYN (PRESIDENT) |
| Authorized Official Telephone | 9542355464 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW11710 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4546 N Federal Hwy, Fort Lauderdale, FL 333085204 | 9542355464 | 9543376242 |
| 7491 W Oakland Park Blvd Ste 308, Tamarac, FL 333194966 | 9547465667 | 9547466387 |
| Street Address |
11011 SHERIDAN ST STE 211 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33026-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205285848 | Lexa Gabrielle Bender | Counselor | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2016-06-04 |
| 1588270631 | Ena Pena | Marriage & Family Therapist | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2020-09-23 |
| 1356985022 | Rosi Gimeno Therapy, LLC | Counselor | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2019-11-05 |
| 1396389235 | Autumn Kathleen Dolan | Marriage & Family Therapist | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2019-11-04 |
| 1316588874 | Viviana Vethencourt | Counselor | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2019-10-04 |
| 1124671243 | Rachel A Smith | Marriage & Family Therapist | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2019-07-17 |
| 1184193369 | Jean-michael Bouciquot | Marriage & Family Therapist | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2018-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497185 | Andrey Davydov | Social Worker | 3800 N Hills Dr Apt 106, Hollywood, FL 33021-2541 | 2020-11-04 |
| 1730786112 | Adrienn Nagy, LLC | Social Worker | 7438 Cleveland St, Hollywood, FL 33024-5326 | 2020-10-08 |
| 1205433950 | N Davis Counseling | Social Worker | 3901 N 39th Ave, Hollywood, FL 33021-1807 | 2020-10-06 |
| 1285249557 | Sharifa Melissa Browne | Social Worker | 4150 Davie Road Ext Apt 4301, Hollywood, FL 33024-1704 | 2020-09-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1902377898 | Gary Turner | Social Worker | 2101 N 31st Rd, Hollywood, FL 33021-4421 | 2018-12-17 |
| 1952889974 | Joel Enoc Mendez | Social Worker | 6950 Liberty St, Hollywood, FL 33024-3717 | 2018-08-01 |
| 1023526324 | Jennifer Lisa Bluth | Social Worker | 921 Corkwood St, Hollywood, FL 33019-4877 | 2018-01-21 |
| 1952838872 | Vanessa Khan | Social Worker | 3725 S Ocean Dr Apt 815, Hollywood, FL 33019-2909 | 2017-05-23 |
| 1417409715 | Rachel Baldwin | Social Worker | 23413 Nicholson St, Hollywood, MD 20636-3289 | 2016-11-03 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on BE EMPOWERED COACHING, INC..
| 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.