EMPOWERED MATURITY PLLC (NPI# 1528529625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528529625 |
| Entity Type | Organization |
| Organization Name | EMPOWERED MATURITY PLLC |
| Practice Address |
13355 Noel Rd Ste 1100 Dallas TX 75240-6694 |
| Mailing Address |
5225 Verde Valley Ln Apt 102 Dallas TX 75254-7901 |
| Practice Telephone | 4694809098 |
| Mailing Telephone | 2034516385 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | MR. PATRICK HENTSCH-COWLES (COUNSELOR) |
| Authorized Official Telephone | 4694809098 |
| Authorized Official Credential | MS, NCC, CSAT, L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
13355 NOEL RD STE 1100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-6694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434299 | Patrick Hentsch-cowles | Counselor | 13355 Noel Rd Ste 1100, Dallas, TX 75240-6694 | 2013-09-18 |
| 1861884967 | David Aaron Hunt | Counselor | 13355 Noel Rd Ste 1100, Dallas, TX 75240 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418809 | Home Alliance Services LLC | Clinic/Center | 539 W Commerce St Ste 2472, Dallas, TX 75208-1953 | 2020-08-20 |
| 1386279644 | Pyou're Life Behavioral Health and Wellness, LLC | Clinic/Center | 539 W Commerce St Ste 2996, Dallas, TX 75208-1953 | 2020-03-06 |
| 1336795467 | Draffkorn Counseling, LLC | Clinic/Center | 3131 Mckinney Ave # 614, Dallas, TX 75204-7426 | 2019-08-14 |
| 1336707744 | Greene Counseling & Guidance | Clinic/Center | 4099 Mcewen Rd Ste 562, Dallas, TX 75244-5373 | 2019-05-31 |
| 1912479189 | Recap Services, Inc | Clinic/Center | 1004 Wooddale Ct, Dallas, NC 28034-9251 | 2018-12-27 |
| 1952805962 | Braken Group, LLP | Clinic/Center | 6431 Rosalie Dr, Dallas, TX 75236 | 2018-03-23 |
| 1639678113 | Susan Talmage, Phd, Pa | Clinic/Center | 20 Vanguard Way, Dallas, TX 75243-6510 | 2018-02-09 |
| 1902317050 | Zoom Health Services Incorporation | Clinic/Center | 12959 Jupiter Rd Ste 140, Dallas, TX 75238-3200 | 2017-10-17 |
| 1649640749 | Green Oaks | Clinic/Center | 12221 Merit Dr Ste 400, Dallas, TX 75251-2291 | 2015-10-01 |
| 1114365608 | St. Clara's Assisted Living | Clinic/Center | 7127 Barrett Dr, Dallas, TX 75217-4673 | 2013-06-06 |
| Find all providers in DALLAS | ||||
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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.