Organization
EMPOWERING 4 PURPOSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA LINGARD (LICENSED THERAPIST)
(352) 284-0577
Entity
Organization
Contact information
Practice address
111 SE 1ST AVE STE 160, GAINESVILLE, FL 32601-9914
(352) 284-0577
Mailing address
16690 NW 192ND TER, HIGH SPRINGS, FL 32643-0647
(352) 284-0577
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801563648
FL BLUE
FL
Enumeration date
10/31/2022
Last updated
05/01/2024
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