| Empowered Minds Institute | |
|
4600 Stonelea Pl La Grange KY 40031-6706 | |
| (502) 381-9053 | |
| Not Available |
| Full Name | Empowered Minds Institute |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4600 Stonelea Pl, La Grange, Kentucky |
| Authorized Official Name and Position | Jeff Beaty (CEO) |
| Authorized Official Contact | 5023819053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Minds Institute 4600 Stonelea Pl La Grange KY 40031-6706 Ph: (502) 381-9053 | Empowered Minds Institute 4600 Stonelea Pl La Grange KY 40031-6706 Ph: (502) 381-9053 |
| NPI Number | 1447079629 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447079629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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