Organization Active NPI

Empower Mental Health & Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1699434845
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jan 26, 2024

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.