Healthcare Provider Details
I. General information
NPI: 1841374774
Provider Name (Legal Business Name): EMPOWERMENT SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2006
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
699 COTTONWOOD DR
SEVERNA PARK MD
21146-2809
US
IV. Provider business mailing address
699 COTTONWOOD DR
SEVERNA PARK MD
21146-2809
US
V. Phone/Fax
- Phone: 410-647-6745
- Fax: 410-647-6745
- Phone: 410-647-6745
- Fax: 410-647-6745
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0807X |
| Taxonomy | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | R069336 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | R069336 |
| License Number State | MD |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | R069336 |
| License Number State | MD |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0810X |
| Taxonomy | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | R069336 |
| License Number State | MD |
VIII. Authorized Official
Name:
CAROLYN
W
HUFF
Title or Position: PRESIDENT/NURSE PSYCHOTHERAPIST
Credential: APRN, MS, CS-P
Phone: 410-647-6745