Healthcare Provider Details

I. General information

NPI: 1942185681
Provider Name (Legal Business Name): EMPOWERED HEARTS COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 NW FRANKLIN AVE STE 101
BEND OR
97703-2752
US

IV. Provider business mailing address

61647 DALY ESTATES DR APT 10
BEND OR
97702-0814
US

V. Phone/Fax

Practice location:
  • Phone: 303-919-2198
  • Fax:
Mailing address:
  • Phone: 303-919-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROBIN ARNETT
Title or Position: OWNER AND CLINICIAN
Credential: LCSW
Phone: 303-919-2198