Empowered Life

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMPOWERED LIFE

Practice address

103 Wilkes Dr Ste E
Monroe, NC 28110-2798

Phone

(704) 577-2139

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Fashenda Little-Gerald

Title

President

Phone

(704) 577-2139

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1649838459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 PERSIMMON CREEK DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276687",
            "telephone_number": "704-577-2139",
            "fax_number": "844-272-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WILKES DR STE E",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102798",
            "telephone_number": "704-577-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "LITTLE-GERALD",
        "authorized_official_first_name": "FASHENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-577-2139"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Anita Elmore
• Elnita Ottey & Associates Counseling and Consulting Services, PLLC
• Priscille Jean Elusme, LCSWA
• McRandon Elvenstar
• Tiffany Austin Emanuel
• Emmanuel Tambi Enohmbi, MD
• Brian Roy Erickson, FNP
• Evan John Erickson, DDS
• Obinna Nnaemeka Eruchalu, MD
• Susana Estevez, LMBT

• Community/Behavioral Health Agency in Monroe, NC
• Providers in Monroe, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.