| Emboldened Psychological Services, Pllc | |
|
33966 W 8 Mile Rd Ste 101 Farmington Hills MI 48335-5273 | |
| (248) 788-6408 | |
| Not Available |
| Full Name | Emboldened Psychological Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 33966 W 8 Mile Rd Ste 101, Farmington Hills, Michigan |
| Authorized Official Name and Position | Carmen Cochran (OWNER, CEO) |
| Authorized Official Contact | 8102108462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emboldened Psychological Services, Pllc Po Box 40706 Redford MI 48240-0706 Ph: (810) 210-8462 | Emboldened Psychological Services, Pllc 33966 W 8 Mile Rd Ste 101 Farmington Hills MI 48335-5273 Ph: (248) 788-6408 |
| NPI Number | 1598526659 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 06/27/2025 |
| Certification Date | 06/27/2025 |
| Medicare PECOS PAC ID | 7618416801 |
|---|---|
| Medicare Enrollment ID | O20240903000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598526659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carmen Cochran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619317096 PECOS PAC ID: 8527507714 Enrollment ID: I20240903000597 |
| Provider Name | Cutrina Patrice Claxton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700265469 PECOS PAC ID: 9931638566 Enrollment ID: I20250128002859 |
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