EMPOWERING MINDS RESOURCE CENTER (NPI# 1649704891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649704891 |
| Entity Type | Organization |
| Organization Name | EMPOWERING MINDS RESOURCE CENTER |
| Practice Address |
1833 Pulaski Hwy Edgewood MD 21040-1609 |
| Mailing Address |
500 Redland Ct Ste 213 Owings Mills MD 21117-3264 |
| Practice Telephone | 4434842306 |
| Mailing Telephone | 4103633713 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | TIFFINIE CARROLL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4103633713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MD | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649805078 | Empowering Minds Resource Center | Clinic/Center | 1800 N Charles St Fl 6, Baltimore, MD 21201-5920 | 2020-03-05 |
| 1285175463 | Empowering Minds Resource Center | Case Management | 1833a Pulaski Hwy, Edgewood, MD 21040-1609 | 2017-03-20 |
| 1871957936 | Empowering Minds Resource Center | Community/Behavioral Health | 105 E 25th St, Baltimore, MD 21218-5213 | 2016-04-05 |
| 1285807909 | Empowering Minds Resource Center | Community/Behavioral Health | 1800 N Charles St Ste 804, Baltimore, MD 21201-5987 | 2008-04-03 |
| 1073133740 | Empowering Minds Resource Center | Case Management | 14207 Park Center Dr, Laurel, MD 20707-5248 | 2020-04-22 |
| 1467087932 | Empowering Minds Resource Center | Community/Behavioral Health | 1833 Pulaski Hwy, Edgewood, MD 21040-1641 | 2020-03-05 |
| 1245874338 | Empowering Minds Resource Center | Clinic/Center | 1800 N Charles St Ste 804, Baltimore, MD 21201-5987 | 2019-10-31 |
| 1467934497 | Empowering Minds Resource Center | Substance Abuse Rehabilitation Facility | 105 E 25th St, Baltimore, MD 21218-5213 | 2018-09-06 |
| 1932602067 | Empowering Minds Resource Center | Community/Behavioral Health | 105 E 25th St, Baltimore, MD 21218-5213 | 2018-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EMPOWERING MINDS RESOURCE CENTER, LLP | 1800 N Charles St Ste 804, Baltimore, MD 21201-5987 |
| Street Address |
1833 PULASKI HWY |
| City | EDGEWOOD |
| State | MD |
| Zip Code | 21040-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087932 | Empowering Minds Resource Center | Community/Behavioral Health | 1833 Pulaski Hwy, Edgewood, MD 21040-1641 | 2020-03-05 |
| 1215570551 | Samyia Jackson | Social Worker | 1833 Pulaski Hwy, Edgewood, MD 21040-1641 | 2019-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028458 | Alycia Covelly | Counselor | 2415 Willoughby Beach Rd, Edgewood, MD 21040 | 2018-06-29 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1952845810 | Caroline Njane | Registered Nurse | 835 Clover Leaf Ct, Edgewood, MD 21040 | 2016-12-12 |
| 1003368945 | Rts Edgewood | Clinic/Center | 2205 Pulaski Hwy, Edgewood, MD 21040 | 2016-10-26 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1841469723 | Rafiq Patel M D P A | General Practice | 1952 Pulaski Highway, Edgewood, MD 21040 | 2008-02-26 |
| 1871793877 | Nichols Shelter Home for Elderly | Health Maintenance Organization | 1111 Hanson Rd., Edgewood, MD 21040 | 2007-07-19 |
| 1467505362 | William N Bernhard | Preventive Medicine | 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 | 2007-01-22 |
| 1417006503 | Phoenix Recovery Center Inc | Clinic/Center | 107 Edgewood Rd, Edgewood, MD 21040 | 2007-01-09 |
| 1093886848 | Fernando Jose Narava | Dentist | 9690 Deereco, Suite 120, Timonium, MD 21040 | 2006-11-13 |
| Find all providers in zip 21040 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528582269 | Steth Corporation | Community/Behavioral Health | 661 Harr Park Ct, Edgewood, MD 21040-2553 | 2017-08-02 |
| 1508387374 | Mindset Support Services | Community/Behavioral Health | 1308 Business Center Way Ste 101, Edgewood, MD 21040-1504 | 2017-07-03 |
| 1386181311 | Myers Health and Wellness LLC | Community/Behavioral Health | 3512 Sandpiper Ct, Edgewood, MD 21040-3736 | 2017-01-29 |
| 1265729677 | Therapeutic Living for Families Inc. | Community/Behavioral Health | 1837 Pulaski Highway, Edgewood, MD 21040-1446 | 2011-07-06 |
| 1932436722 | Empowering Lives Creating Possibilities Inc | Community/Behavioral Health | 3172 Ebbtide Dr, Edgewood, MD 21040-2921 | 2009-11-16 |
| 1790399293 | Changing Turn Community Healthcare Services | Community/Behavioral Health | 500 Edgewood Rd Ste 210, Edgewood, MD 21040-2734 | 2020-09-02 |
| 1467087932 | Empowering Minds Resource Center | Community/Behavioral Health | 1833 Pulaski Hwy, Edgewood, MD 21040-1641 | 2020-03-05 |
| 1467096412 | Empowering Mind Resource Center | Community/Behavioral Health | 1833 Pulaski Hwy Ste A, Edgewood, MD 21040-1654 | 2019-11-03 |
| 1356818629 | Changing Turn Community Healthcare Services | Community/Behavioral Health | 500 Edgewood Rd Ste 210, Edgewood, MD 21040-2734 | 2018-10-25 |
| 1831682475 | Project Chesapeake, LLC | Community/Behavioral Health | 1308 Business Center Way Ste 102, Edgewood, MD 21040-1504 | 2018-06-08 |
| Find all providers in EDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.