Active NPI
Empower Mental Health & Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1699434845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EMPOWER MENTAL HEALTH & WELLNESS, LLC
- Practice address
- 635 Bert Kouns Industrial Loop Ste 400
Shreveport, LA 71118-5704 - Phone
- (318) 661-9495
- NPI assigned
- Dec 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlisa Brown
- Title
- Aprn
- Phone
- (318) 661-9495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
635 Bert Kouns Industrial Loop Ste 400
Shreveport, LA 71118-5704
Mailing address
635 Bert Kouns Industrial Loop Ste 400
Shreveport, LA 71118-5704
Other practice location 1
4100 Spring Valley Rd Ste 672
Dallas, TX 75244-3753
Phone (318) 661-9495
National Provider Directory
National Provider DirectoryLocations
1500 N Market St
Ste C106
Shreveport, LA 71107
Phone (318) 661-9495
4100 Spring Valley Rd
Ste 672
Dallas, TX 75244
Phone (318) 661-9495
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Denver, CO
- NPI 1740648344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1699434845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 BERT KOUNS INDUSTRIAL LOOP STE 400",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711185704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BERT KOUNS INDUSTRIAL LOOP STE 400",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711185704",
"telephone_number": "318-661-9495"
}
],
"practiceLocations": [
{
"address_1": "4100 Spring Valley Rd Ste 672",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752443753",
"country_code": "US",
"telephone_number": "318-661-9495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EMPOWER MENTAL HEALTH & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-15",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "CHARLISA",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "318-661-9495"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Rebecca Emery
- Emile T. Geneux Iidds, Benjamin a. Beach DDS, and Ross H. Dies DDS, LL
- Emmanuel Transportation Service
- Catherine H Emmons, CRNA
- Empath Psychiatry, LLC
- Empowering You Social Work Services LLC
- Encompass Health Rehabilitation Hospital of Shreveport, LLC
- Encouragin Insights of Louisiana
- Amy England, MA, CCC-SLP
- Brittany English
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.