=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720943194
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPOWERING MINDS RESOURCE CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2025
-----------------------------------------------------
Last Update Date | 12/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3104 LORD BALTIMORE DR STE 103
-----------------------------------------------------
City | WINDSOR MILL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21244-5801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-893-3928
-----------------------------------------------------
Fax | 443-200-5032
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10451 MILL RUN CIR STE 400
-----------------------------------------------------
City | OWINGS MILLS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21117-5594
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-363-3713
-----------------------------------------------------
Fax | 410-363-3715
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANGING PARTNER
-----------------------------------------------------
Name | TIFFINIE CARROLL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 410-363-3713
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------