Empowering Minds Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMPOWERING MINDS SERVICES LLC

Practice address

150 BW Thomas Dr
Fort Mill, SC 29708-7230

Phone

(803) 548-1234

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Laneisha Faggart, MEDICAL ASSISTANT

Title

Ceo/Owner

Phone

(980) 255-1733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1447773056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 FISK ST NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276604",
            "telephone_number": "980-255-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BW THOMAS DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087230",
            "telephone_number": "803-548-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MINDS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "FAGGART",
        "authorized_official_first_name": "LANEISHA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "980-255-1733",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.