Provider Demographics
NPI:1336684927
Name:EMPOWERING MINDS COUNSELING SERVICES
Entity Type:Organization
Organization Name:EMPOWERING MINDS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GULLY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:318-560-2732
Mailing Address - Street 1:344 SOUTH DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5066
Mailing Address - Country:US
Mailing Address - Phone:318-828-1500
Mailing Address - Fax:
Practice Address - Street 1:344 SOUTH DR
Practice Address - Street 2:SUITE C
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5066
Practice Address - Country:US
Practice Address - Phone:318-828-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health