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General NPI Number Information
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NPI Number | 1770354243
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Entity Type | Organization
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Legal Business Name | EMPOWERED MINDS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 4860 COX RD # 262
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City | GLEN ALLEN
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State | VA
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Zip | 23060-9275
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Country | US
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Telephone | 804-258-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 COX RD # 262
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City | GLEN ALLEN
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State | VA
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Zip | 23060-9275
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Country | US
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Telephone | 804-258-6020
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROSHAUNDA ALSTON
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Credential |
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Telephone | 252-360-9778
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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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