| Empowering 4 Purpose, Llc | |
|
111 Se 1st Ave Ste 160 Gainesville FL 32601-9914 | |
| (352) 284-0577 | |
| Not Available |
| Full Name | Empowering 4 Purpose, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 111 Se 1st Ave Ste 160, Gainesville, Florida |
| Authorized Official Name and Position | Lakesha Lingard (LICENSED THERAPIST) |
| Authorized Official Contact | 3522840577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering 4 Purpose, Llc 16690 Nw 192nd Ter High Springs FL 32643-0647 Ph: (352) 284-0577 | Empowering 4 Purpose, Llc 111 Se 1st Ave Ste 160 Gainesville FL 32601-9914 Ph: (352) 284-0577 |
| NPI Number | 1285341297 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285341297 | NPI | - | NPPES |
| 1801563648 | Other | FL | FL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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