Brain Empowerment LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Sarasota, FL. Organization (NPI-2).
NPI number1821796400
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1821796400
- Entity type
- Organization (NPI-2)
- Legal business name
- Brain Empowerment LLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2023
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Brain Empowerment LLC (Former Legal Business Name)
Practice location
8618 Palmer Park CirSarasota, FL 34238-2405
Phone 617-953-8077
Mailing address
8618 Palmer Park CirSarasota, FL 34238-2405
Phone 617-953-8077
Authorized official
Lisiane Goncalves Fidalgo
Licensed Mental Health Counselor
6179538077
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