| Emboldened Psychological Services, Pllc | |
|
17374 Indian Redford MI 48240-2335 | |
| (810) 210-8462 | |
| Not Available |
| Full Name | Emboldened Psychological Services, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17374 Indian, Redford, Michigan |
| Authorized Official Name and Position | Carmen Cochran (OWNER, CEO) |
| Authorized Official Contact | 8102108462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emboldened Psychological Services, Pllc Po Box 40706 Redford MI 48240-0706 Ph: (810) 210-8462 | Emboldened Psychological Services, Pllc 17374 Indian Redford MI 48240-2335 Ph: (810) 210-8462 |
| NPI Number | 1598526659 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598526659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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