Empower You Counseling Llc | |
6695 Highland Rd Ste 203 Waterford MI 48327-1968 | |
(248) 600-9928 | |
Not Available |
Full Name | Empower You Counseling Llc |
---|---|
Speciality | Counselor |
Location | 6695 Highland Rd Ste 203, Waterford, Michigan |
Authorized Official Name and Position | Kathleen Stark (OWNER) |
Authorized Official Contact | 2486009928 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Empower You Counseling Llc 2660 Grandview Blvd Waterford MI 48329-2916 Ph: (248) 933-6352 | Empower You Counseling Llc 6695 Highland Rd Ste 203 Waterford MI 48327-1968 Ph: (248) 600-9928 |
NPI Number | 1770368995 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 03/01/2024 |
Certification Date | 03/01/2024 |
Medicare PECOS PAC ID | 2668824855 |
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Medicare Enrollment ID | O20240124000535 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770368995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Kathleen Marie Stark |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699126839 PECOS PAC ID: 3577915768 Enrollment ID: I20240124000908 |
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