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General NPI Number Information
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NPI Number | 1225942931
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Entity Type | Organization
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Legal Business Name | EMPOWERED HEALING MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 46480 MONTE DR
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City | HAMMOND
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State | LA
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Zip | 70401-4861
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Country | US
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Telephone | 985-351-9054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 116
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City | NATALBANY
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State | LA
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Zip | 70451-0116
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Country | US
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Telephone | 985-351-9054
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KIERRA COOKS
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Credential | PMHNP
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Telephone | 985-351-9054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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