# M.C. EMPOWERMENT ENTERPRISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M.C. Empowerment Enterprise
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720794639
- **Authorized official:** CAMMIE M BROUSSARD NP (OWNER)
- **Authorized official phone:** (337) 258-5143

## Contact information

- **Practice address:** 606 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4231
- **Practice address phone:** (337) 442-6254
- **Practice address fax:** (337) 442-6112
- **Mailing address:** PO BOX 1075, CARENCRO, LA 70520-1075
- **Mailing address phone:** (337) 258-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2023
- **Last updated:** 01/24/2023