| Empowering Mindz Counseling Llc | |
|
400 W Capitol Ave Ste 1700 #630 Little Rock AR 72201 | |
| (501) 662-8180 | |
| Not Available |
| Full Name | Empowering Mindz Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 400 W Capitol Ave Ste 1700 #630, Little Rock, Arkansas |
| Authorized Official Name and Position | Laportia Jackson (OWNER) |
| Authorized Official Contact | 5016628180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Mindz Counseling Llc 400 W Capitol Ave Ste 1700 #630 Little Rock AR 72201 Ph: (501) 662-8180 | Empowering Mindz Counseling Llc 400 W Capitol Ave Ste 1700 #630 Little Rock AR 72201 Ph: (501) 662-8180 |
| NPI Number | 1760252894 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 0143664045 |
|---|---|
| Medicare Enrollment ID | O20240220000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760252894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Laportia Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881352896 PECOS PAC ID: 9436509841 Enrollment ID: I20231228000040 |
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