Provider Demographics
NPI:1982412425
Name:EMPOWERED MINDS BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:EMPOWERED MINDS BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP FNP-BC, PMHNP-BC
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NALONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-322-4970
Mailing Address - Street 1:12000 SAWMILL RD APT 2213
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2110
Mailing Address - Country:US
Mailing Address - Phone:832-322-4970
Mailing Address - Fax:
Practice Address - Street 1:12000 SAWMILL RD APT 2213
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2110
Practice Address - Country:US
Practice Address - Phone:832-322-4970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty