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Organization
EMPOWER HEALTHY MIND
Active
Organization
EMPOWER HEALTHY MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDEL DOUGLAS (OWNER)
(862) 801-2142
Entity
Organization
Contact information
Practice address
30 MONTGOMERY ST STE 1200, JERSEY CITY, NJ 07302-3829
(862) 801-2142
Mailing address
30 MONTGOMERY ST STE 1200, JERSEY CITY, NJ 07302-3829
(862) 801-2142
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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