Healthcare Provider Details

I. General information

NPI: 1457275091
Provider Name (Legal Business Name): EMPOWERED LIFE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 DEBBIE ST
ALEXANDRIA LA
71303-5002
US

IV. Provider business mailing address

1411 DEBBIE ST
ALEXANDRIA LA
71303-5002
US

V. Phone/Fax

Practice location:
  • Phone: 318-619-0239
  • Fax:
Mailing address:
  • Phone: 318-619-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: NISHEKA AVADETT BROWN
Title or Position: OWNER/DIRECTOR
Credential: LPC
Phone: 318-619-0239