Healthcare Provider Details

I. General information

NPI: 1013823343
Provider Name (Legal Business Name): EMPOWER RECOVERY NETWORK CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 MEDICAL PARK DR W
WILSON NC
27893-2788
US

IV. Provider business mailing address

405 EVERLEE LN
MOUNT JULIET TN
37122-4451
US

V. Phone/Fax

Practice location:
  • Phone: 423-534-8761
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN LOYD
Title or Position: CFO
Credential:
Phone: 423-534-8761