Healthcare Provider Details

I. General information

NPI: 1013839745
Provider Name (Legal Business Name): EMPOWERED BY HOPE. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 TOBACCO RD
LEXINGTON NC
27295-9920
US

IV. Provider business mailing address

745 TOBACCO RD
LEXINGTON NC
27295-9920
US

V. Phone/Fax

Practice location:
  • Phone: 336-745-0679
  • Fax: 336-745-0679
Mailing address:
  • Phone: 336-745-0679
  • Fax: 336-745-0679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. TIFFANY WILLIAM MCBRIDE
Title or Position: CEO
Credential: MCBRIDE
Phone: 336-745-0679