Emotional Empowerment Services Pllc | |
159 S Harvey St Plymouth MI 48170-1615 | |
(734) 895-5374 | |
Not Available |
Full Name | Emotional Empowerment Services Pllc |
---|---|
Speciality | Social Worker |
Location | 159 S Harvey St, Plymouth, Michigan |
Authorized Official Name and Position | Sally J Hamerink (SOLE MEMBER) |
Authorized Official Contact | 7348925899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Emotional Empowerment Services Pllc 159 S Harvey St Plymouth MI 48170-1615 Ph: (734) 895-5374 | Emotional Empowerment Services Pllc 159 S Harvey St Plymouth MI 48170-1615 Ph: (734) 895-5374 |
NPI Number | 1740807569 |
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Provider Enumeration Date | 06/26/2020 |
Last Update Date | 06/30/2020 |
Certification Date | 06/30/2020 |
Medicare PECOS PAC ID | 8224453865 |
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Medicare Enrollment ID | O20200730000485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740807569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sally J Hamerink |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841220654 PECOS PAC ID: 7618031121 Enrollment ID: I20090128000451 |
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