Provider Demographics
NPI:1477245108
Name:EMPOWERING THE HEALING FOR EXTERNAL LIVING, LLKC
Entity Type:Organization
Organization Name:EMPOWERING THE HEALING FOR EXTERNAL LIVING, LLKC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PILES-HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, FNP-BC
Authorized Official - Phone:757-620-2784
Mailing Address - Street 1:3520 E LITTLE CREEK RD STE E3520E
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-3460
Mailing Address - Country:US
Mailing Address - Phone:757-620-2784
Mailing Address - Fax:405-449-0350
Practice Address - Street 1:3520 E LITTLE CREEK RD STE E3520E
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-3460
Practice Address - Country:US
Practice Address - Phone:757-620-2784
Practice Address - Fax:405-449-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty