Organization
EMPOWERMENT HEALTHCARE SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN AYICHI PMHNP-BC (CEO)
(410) 321-1961
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD STE 108B, BALTIMORE, MD 21237-4333
(410) 321-1961
(410) 321-1962
Mailing address
PO BOX 18844, BALTIMORE, MD 21206-0844
(410) 321-1961
(410) 321-1962
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/18/2020
Last updated
10/02/2024
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