| Empowered And Resilient Minds Llc | |
|
54 Carrier St Liberty NY 12754-2123 | |
| (845) 594-4721 | |
| Not Available |
| Full Name | Empowered And Resilient Minds Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 54 Carrier St, Liberty, New York |
| Authorized Official Name and Position | Lynn Leibowitz-whitehead (CEO) |
| Authorized Official Contact | 8455944721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered And Resilient Minds Llc 54 Carrier St Liberty NY 12754-2123 Ph: (845) 594-4721 | Empowered And Resilient Minds Llc 54 Carrier St Liberty NY 12754-2123 Ph: (845) 594-4721 |
| NPI Number | 1992547186 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992547186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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