Empowering 4 Purpose, Llc | |
111 Se 1st Ave Ste 160 Gainesville FL 32601-9914 | |
(352) 284-0577 | |
Not Available |
Full Name | Empowering 4 Purpose, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 111 Se 1st Ave Ste 160, Gainesville, Florida |
Authorized Official Name and Position | Lakesha Lingard (LICENSED THERAPIST) |
Authorized Official Contact | 3522840577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Empowering 4 Purpose, Llc 16690 Nw 192nd Ter High Springs FL 32643-0647 Ph: (352) 284-0577 | Empowering 4 Purpose, Llc 111 Se 1st Ave Ste 160 Gainesville FL 32601-9914 Ph: (352) 284-0577 |
NPI Number | 1285341297 |
---|---|
Provider Enumeration Date | 10/31/2022 |
Last Update Date | 05/01/2024 |
Certification Date | 05/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285341297 | NPI | - | NPPES |
1801563648 | Other | FL | FL BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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