MEDICARE: EVALUATE AND EMPOWER PSYCHIATRY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1477494821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVALUATE AND EMPOWER PSYCHIATRY SERVICES

Provider Business Mailing Address
First Line	:	6 ASHFIELD CT
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29681-5188
Country	:	US
Telephone Number	:	864-525-2737
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 HALTON RD STE J
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-3498
Country	:	US
Telephone Number	:	864-525-2737
Fax Number	:

Authorized Official
Title or Position	:	NP PROVIDER
Name	:	KIMBERLY PARKER
Credential	:	APRN
Telephone Number	:	864-525-2737

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	06/12/2026

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