MEDICARE: EMPOWERED CHOICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1982403549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED CHOICES LLC

Provider Business Mailing Address
First Line	:	7264 WESTERN SUN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1972
Country	:	US
Telephone Number	:	702-401-8794
Fax Number	:

Provider Business Practice Location Address
First Line	:	7264 WESTERN SUN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1972
Country	:	US
Telephone Number	:	702-401-8794
Fax Number	:

Authorized Official
Title or Position	:	OWNER CEO
Name	:	ESTRELLA EVANGELISTA
Credential	:	DNP MED PMHNP
Telephone Number	:	702-401-8794

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/07/2025

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Directions to “EMPOWERED CHOICES LLC ” Practice Location

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