EMPOWERED2SHIFT NPI 1508379967

NPI Information

NPI: 1508379967
Provider Name: EMPOWERED2SHIFT
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
351 WAGONER DR STE 200
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 587-8623
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EMPOWERED2SHIFT is an adult mental health clinic center in Fayetteville, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. EMPOWERED2SHIFT NPI is 1508379967. The provider is registered as an organization entity type.

The provider's business location address is:

351 WAGONER DR STE 200
FAYETTEVILLE, NC
ZIP 28303-672
Phone: (910) 587-8623

The provider's authorized official is Shakeeta Torres .
The authorized official title is Mental Health Counselor, Ceo and has the following contact phone number (910) 587-8623.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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