OrganizationActive
Empowered Minds LLC
NPI 1528804440 · Adult Mental Health Clinic/Center · Herndon, VA
Provider details
- NPI number
- 1528804440
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole Kazuba, Clinical Director(703) 975-6351
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12605 Glenbrooke Woods Dr
Herndon, VA 20171-2122
Phone: (703) 975-6351
Approximate (ZIP-level) locationGet directions
Mailing address
335 Wood Dale Dr
Hendersonville, NC 28791-7818
Registry dates
- Enumerated
- 2024-07-02
- Last updated
- 2024-07-02
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.