Provider Demographics
NPI:1568029734
Name:EMPOWERED HEALING DALLAS
Entity Type:Organization
Organization Name:EMPOWERED HEALING DALLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCURIEX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-417-5328
Mailing Address - Street 1:12720 HILLCREST RD STE 106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7121
Mailing Address - Country:US
Mailing Address - Phone:214-417-5328
Mailing Address - Fax:
Practice Address - Street 1:12720 HILLCREST RD STE 106
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7121
Practice Address - Country:US
Practice Address - Phone:214-417-5328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty