| Empowered Minds Llc | |
|
12605 Glenbrooke Woods Dr Herndon VA 20171-2122 | |
| (703) 975-6351 | |
| Not Available |
| Full Name | Empowered Minds Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12605 Glenbrooke Woods Dr, Herndon, Virginia |
| Authorized Official Name and Position | Nicole Denise Kazuba (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7039756351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Minds Llc 335 Wood Dale Dr Hendersonville NC 28791-7818 Ph: (703) 975-6351 | Empowered Minds Llc 12605 Glenbrooke Woods Dr Herndon VA 20171-2122 Ph: (703) 975-6351 |
| NPI Number | 1528804440 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528804440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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