| Awakening Xperience Psychological Services | |
|
31042 Verona St Farmington Hills MI 48331-1459 | |
| (313) 221-4313 | |
| Not Available |
| Full Name | Awakening Xperience Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 31042 Verona St, Farmington Hills, Michigan |
| Authorized Official Name and Position | Monique Camille Tucker (CEO) |
| Authorized Official Contact | 3132214313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Xperience Psychological Services 31042 Verona St Farmington Hills MI 48331-1459 Ph: (313) 221-4313 | Awakening Xperience Psychological Services 31042 Verona St Farmington Hills MI 48331-1459 Ph: (313) 221-4313 |
| NPI Number | 1295418960 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295418960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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