| Empowerment Plus Therapy Practice Llc | |
|
15350 N Commerce Dr Ste 204 Dearborn MI 48120-1234 | |
| (313) 338-8643 | |
| Not Available |
| Full Name | Empowerment Plus Therapy Practice Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15350 N Commerce Dr Ste 204, Dearborn, Michigan |
| Authorized Official Name and Position | Ethel Mogilevsky (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3133388643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Plus Therapy Practice Llc 15350 N Commerce Dr Ste 204 Dearborn MI 48120-1234 Ph: (313) 338-8643 | Empowerment Plus Therapy Practice Llc 15350 N Commerce Dr Ste 204 Dearborn MI 48120-1234 Ph: (313) 338-8643 |
| NPI Number | 1518679232 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Medicare PECOS PAC ID | 0547626616 |
|---|---|
| Medicare Enrollment ID | O20230515002880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518679232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ethel Mogilevsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063037190 PECOS PAC ID: 5092171165 Enrollment ID: I20230515002956 |
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