Healthcare Provider Details

I. General information

NPI: 1356189260
Provider Name (Legal Business Name): EMPOWERED GROWTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8710 CHOCTAW RD STE 2A
NORTH CHESTERFIELD VA
23235-3472
US

IV. Provider business mailing address

8710 CHOCTAW RD STE 2A
NORTH CHESTERFIELD VA
23235-3472
US

V. Phone/Fax

Practice location:
  • Phone: 804-214-6074
  • Fax:
Mailing address:
  • Phone: 804-214-6074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE VEASEY
Title or Position: MANAGING MEMBER
Credential: LCSW
Phone: 804-214-6074