Provider Demographics
NPI:1912508672
Name:EMPOWERED MINDS THERAPY LLC.
Entity Type:Organization
Organization Name:EMPOWERED MINDS THERAPY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LUBNA
Authorized Official - Middle Name:JAWAID
Authorized Official - Last Name:KHURSHID
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:682-667-4506
Mailing Address - Street 1:13016 TWELVE OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1065
Mailing Address - Country:US
Mailing Address - Phone:682-667-4506
Mailing Address - Fax:
Practice Address - Street 1:6010 W SPRING CREEK PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3569
Practice Address - Country:US
Practice Address - Phone:469-626-8043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty