Empowered and Resilient Minds LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EMPOWERED AND RESILIENT MINDS LLC

Practice address

54 Carrier St
Liberty, NY 12754-2123

Phone

(845) 594-4721

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Lynn Leibowitz-WhiteheadNPI 1518358936

Title

Ceo

Phone

(845) 594-4721

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Leibowitz-Whitehead, LMSW

  • Clinical Social Worker
  • Ellenville, NY
  • NPI 1518358936

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1992547186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CARRIER ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542123",
            "telephone_number": "845-594-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CARRIER ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542123",
            "telephone_number": "845-594-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED AND RESILIENT MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ-WHITEHEAD",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-594-4721"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Liberty, NY
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.