| Empowered To Change Therapy Pllc | |
|
6540 Ridgefield Cir Apt 102 West Bloomfield MI 48322-3038 | |
| (248) 838-1338 | |
| Not Available |
| Full Name | Empowered To Change Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 6540 Ridgefield Cir Apt 102, West Bloomfield, Michigan |
| Authorized Official Name and Position | Holly Snell (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 2488381338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered To Change Therapy Pllc 6540 Ridgefield Cir Apt 102 West Bloomfield MI 48322-3038 Ph: (248) 838-1338 | Empowered To Change Therapy Pllc 6540 Ridgefield Cir Apt 102 West Bloomfield MI 48322-3038 Ph: (248) 838-1338 |
| NPI Number | 1518731017 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 8022458363 |
|---|---|
| Medicare Enrollment ID | O20240502003624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518731017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Holly Lane Snell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437402500 PECOS PAC ID: 8628348760 Enrollment ID: I20170721000766 |
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