Healthcare Provider Details

I. General information

NPI: 1619585676
Provider Name (Legal Business Name): CHOOSING EMPOWERMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 GOLDEN EAGLE LN
LEANDER TX
78641-1761
US

IV. Provider business mailing address

PO BOX 1871
LEANDER TX
78646-1871
US

V. Phone/Fax

Practice location:
  • Phone: 833-966-2730
  • Fax:
Mailing address:
  • Phone: 612-405-2902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAWNNELL BATISTE
Title or Position: OWNER/OPERATOR
Credential: LPC
Phone: 833-966-2730