Provider Demographics
NPI:1255391348
Name:SPIRIT HEALTH AND EMPOWERMENT INC.
Entity type:Organization
Organization Name:SPIRIT HEALTH AND EMPOWERMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WYLENE
Authorized Official - Middle Name:BERNADETTE
Authorized Official - Last Name:SIMMONS-ELLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:954-484-6898
Mailing Address - Street 1:2331 N STATE ROAD 7
Mailing Address - Street 2:SUITE 124
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-3748
Mailing Address - Country:US
Mailing Address - Phone:954-484-6898
Mailing Address - Fax:
Practice Address - Street 1:2331 N STATE ROAD 7
Practice Address - Street 2:SUITE 124
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313
Practice Address - Country:US
Practice Address - Phone:954-484-6898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW122175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty