Healthcare Provider Details

I. General information

NPI: 1225942931
Provider Name (Legal Business Name): EMPOWERED HEALING MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46480 MONTE DR
HAMMOND LA
70401-4861
US

IV. Provider business mailing address

PO BOX 116
NATALBANY LA
70451-0116
US

V. Phone/Fax

Practice location:
  • Phone: 985-351-9054
  • Fax:
Mailing address:
  • Phone: 985-351-9054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIERRA COOKS
Title or Position: NURSE PRACTITIONER
Credential: PMHNP
Phone: 985-351-9054