Provider Demographics
NPI:1588548853
Name:SHESEMPOWERED COACHING AND CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:SHESEMPOWERED COACHING AND CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:RAQUEL
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:704-325-9431
Mailing Address - Street 1:7427 MATTHEWS MINT HILL RD STE 105-308
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7862
Mailing Address - Country:US
Mailing Address - Phone:704-325-9431
Mailing Address - Fax:
Practice Address - Street 1:4336 PATRIOTS HILL RD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-8177
Practice Address - Country:US
Practice Address - Phone:704-325-9431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty