Empowered2Shift

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EMPOWERED2SHIFT

Practice address

351 Wagoner Dr Ste 200
Fayetteville, NC 28303-4672

Phone

(910) 587-8623

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Shakeeta Torres, MSW, LCSW

Title

Mental Health Counselor, Ceo

Phone

(910) 587-8623

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1508379967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 VAN BUREN DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769418",
            "telephone_number": "910-587-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034672",
            "telephone_number": "910-587-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED2SHIFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "SHAKEETA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR, CEO",
        "authorized_official_telephone_number": "910-587-8623",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.