Healthcare Provider Details

I. General information

NPI: 1558285411
Provider Name (Legal Business Name): EMPOWERING MENTAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 W FRANKLIN ST
WINCHESTER IN
47394-1412
US

IV. Provider business mailing address

723 W FRANKLIN ST
WINCHESTER IN
47394-1412
US

V. Phone/Fax

Practice location:
  • Phone: 765-546-2506
  • Fax:
Mailing address:
  • Phone: 765-546-2506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. HAGAN COY LAWSON III
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 765-546-2506