Healthcare Provider Details

I. General information

NPI: 1851255582
Provider Name (Legal Business Name): EMPOWERING MINDS RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7954 BALTIMORE ANNAPOLIS BLVD STE E&F
GLEN BURNIE MD
21060-8188
US

IV. Provider business mailing address

10451 MILL RUN CIR STE 400
OWINGS MILLS MD
21117-5594
US

V. Phone/Fax

Practice location:
  • Phone: 410-590-3672
  • Fax: 410-590-3670
Mailing address:
  • Phone: 410-363-3713
  • Fax: 410-363-3715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFINIE CARROLL
Title or Position: MANAGING PARTNER
Credential:
Phone: 410-363-3713