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General NPI Number Information
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NPI Number | 1003771908
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Entity Type | Organization
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Legal Business Name | THE EMPOWERED WELLNESS PROJECT
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1665 HARTFORD AVE STE 4
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City | JOHNSTON
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State | RI
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Zip | 02919-3268
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Country | US
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Telephone | 401-237-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 1665 HARTFORD AVE UNIT BOX 4
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City | JOHNSTON
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State | RI
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Zip | 02919-3200
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Country | US
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Telephone | 401-237-0131
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Fax |
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Authorized Official
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Title or Position | FOUNDER & EXECUTIVE DIRECTOR
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Name | MS. NI'COLE J WHALEN
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Credential |
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Telephone | 401-237-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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