Organization · NPI-2

17 Eme - Empower Motivate Elevate LLC

Nurse Practitioner, Psych/Mental Health · New Orleans, LA

NPI number1902529704
StatusActive
Last updated in NPPESAug 27, 2024

Details

NPI
1902529704
Entity type
Organization (NPI-2)
Legal business name
17 Eme - Empower Motivate Elevate LLC
Organization subpart
No
Enumeration date
Sep 26, 2022
Certification date
Aug 27, 2024
Last updated
Aug 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
103K00000X Behavior Analyst––
171400000X Health & Wellness Coach––
251S00000X Community/Behavioral Health––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Other names

  • Your Power Wellness (Doing Business As)
  • 17 Eme - Empower Motivate Elevate (Doing Business As)

Practice location

4213b Dhemecourt St
New Orleans, LA 70119-6726

Phone 504-252-3889 · Fax 985-202-5327

Mailing address

4213b Dhemecourt St
New Orleans, LA 70119-6726

Phone 504-252-3889 · Fax 985-202-5327

Authorized official

Celeste Gunning
Owner/Operator/Provider
5042523889

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