Provider Demographics
NPI:1346033776
Name:EMPOWERING MINDS BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:EMPOWERING MINDS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:502-439-6251
Mailing Address - Street 1:1935 S HURSTBOURNE PKWY STE 1270
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1645
Mailing Address - Country:US
Mailing Address - Phone:502-747-9918
Mailing Address - Fax:502-205-5209
Practice Address - Street 1:1935 S HURSTBOURNE PKWY STE 1270
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1645
Practice Address - Country:US
Practice Address - Phone:502-747-9918
Practice Address - Fax:502-205-5209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty