Healthcare Provider Details

I. General information

NPI: 1326959420
Provider Name (Legal Business Name): THE EMPOWERED HEALING GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 US HIGHWAY 401 BUSINESS SUITE 203-E
RAEFORD NC
28376
US

IV. Provider business mailing address

184 INDIGO AVE
RAEFORD NC
28376-5020
US

V. Phone/Fax

Practice location:
  • Phone: 910-446-6231
  • Fax:
Mailing address:
  • Phone: 910-446-6231
  • 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: SHELINA RENA YOUNG
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 910-446-6231