Healthcare Provider Details

I. General information

NPI: 1548126626
Provider Name (Legal Business Name): EMPOWERING WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2026
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HIGHWAY 72 W
CORINTH MS
38834-9399
US

IV. Provider business mailing address

3001 HIGHWAY 72 W
CORINTH MS
38834-9399
US

V. Phone/Fax

Practice location:
  • Phone: 662-443-4522
  • Fax:
Mailing address:
  • Phone: 662-443-4522
  • 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: LATASHA JO MCVEY
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 662-443-4522