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General NPI Number Information
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NPI Number | 1699434845
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Entity Type | Organization
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Legal Business Name | EMPOWER MENTAL HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 635 BERT KOUNS INDUSTRIAL LOOP STE 400
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City | SHREVEPORT
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State | LA
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Zip | 71118-5704
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Country | US
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Telephone | 318-661-9495
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Fax |
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Provider Business Mailing Address
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Address Line | 635 BERT KOUNS INDUSTRIAL LOOP STE 400
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City | SHREVEPORT
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State | LA
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Zip | 71118-5704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | CHARLISA BROWN
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Credential |
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Telephone | 318-661-9495
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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 |
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