Provider Demographics
NPI:1134829641
Name:EMPOWERING MINDS RESOURCE CENTER
Entity type:Organization
Organization Name:EMPOWERING MINDS RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFINIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-363-3713
Mailing Address - Street 1:10451 MILL RUN CIR # 407
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5577
Mailing Address - Country:US
Mailing Address - Phone:443-925-4897
Mailing Address - Fax:
Practice Address - Street 1:3104 LORD BALTIMORE DR STE 103
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-5801
Practice Address - Country:US
Practice Address - Phone:443-348-3954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health