Organization
EMPOWER MINDS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN A MILLER (DIRECTOR)
(704) 965-3972
Entity
Organization
Contact information
Practice address
416 FAIRGREEN DR, CHARLOTTE, NC 28217-4900
(704) 965-3972
Mailing address
1235 EAST BLVD STE. E PMB 1627, CHARLOTTE, NC 28203
(704) 965-3972
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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