Empowering Mindz, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EMPOWERING MINDZ, LLC

Practice address

583 Frederick Rd Ste 6C
Catonsville, MD 21228-4697

Phone

(443) 453-1161

NPI assigned

Oct 28, 2021

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Angella Vassell, M.ED, MAC, CSC-ADNPI 1093058596

Title

Ceo

Phone

(443) 453-1161

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angella Vassell, M.ED CSC-AD

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, MD
  • NPI 1093058596
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1093479677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 FREDERICK RD STE 6C",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284697",
            "telephone_number": "443-453-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 FREDERICK RD STE 6C",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284697",
            "telephone_number": "443-453-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MINDZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "VASSELL",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-453-1161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, MAC, CSC-AD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "empoweringmindz7@gmail.com",
            "affiliation": "N",
            "address_1": "583 Frederick Rd Ste 6C",
            "city": "Catonsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212284697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.