Provider Demographics
NPI:1689965220
Name:EMPOWERING MINDS, LLC
Entity Type:Organization
Organization Name:EMPOWERING MINDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:586-945-6177
Mailing Address - Street 1:22777 HARPER AVE
Mailing Address - Street 2:STE 208 A
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1868
Mailing Address - Country:US
Mailing Address - Phone:586-945-6177
Mailing Address - Fax:
Practice Address - Street 1:22777 HARPER AVE
Practice Address - Street 2:STE 208 A
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1868
Practice Address - Country:US
Practice Address - Phone:586-945-6177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-01
Last Update Date:2011-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management