| Embody Her Llc | |
|
1420 Washington Blvd Ste 301 Detroit MI 48226-1718 | |
| (248) 259-2562 | |
| Not Available |
| Full Name | Embody Her Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1420 Washington Blvd Ste 301, Detroit, Michigan |
| Authorized Official Name and Position | Adrienne E Goloda (OWNER) |
| Authorized Official Contact | 2482592562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embody Her Llc 1420 Washington Blvd Ste 301 Detroit MI 48226-1718 Ph: (248) 259-2562 | Embody Her Llc 1420 Washington Blvd Ste 301 Detroit MI 48226-1718 Ph: (248) 259-2562 |
| NPI Number | 1013672807 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/08/2021 |
| Certification Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013672807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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