| Empowered Mental Health, Pllc | |
|
1424 W Century Ave Ste 103 Bismarck ND 58503-0917 | |
| (701) 516-4298 | |
| Not Available |
| Full Name | Empowered Mental Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1424 W Century Ave Ste 103, Bismarck, North Dakota |
| Authorized Official Name and Position | Delrae Amann (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7013716166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Mental Health, Pllc 2812 Whitlow St Lincoln ND 58504-8006 Ph: (701) 516-4298 | Empowered Mental Health, Pllc 1424 W Century Ave Ste 103 Bismarck ND 58503-0917 Ph: (701) 516-4298 |
| NPI Number | 1164124368 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 1658735782 |
|---|---|
| Medicare Enrollment ID | O20230907004084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164124368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Talia Rachelle Biederstedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912230442 PECOS PAC ID: 2567826696 Enrollment ID: I20230907004127 |
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