Provider Demographics
NPI:1992337687
Name:EMPOWERING SERENITY & GUIDANCE , PLLC
Entity type:Organization
Organization Name:EMPOWERING SERENITY & GUIDANCE , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-347-8684
Mailing Address - Street 1:5745 W MAPLE RD STE 213
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4488
Mailing Address - Country:US
Mailing Address - Phone:734-347-8684
Mailing Address - Fax:
Practice Address - Street 1:5745 W MAPLE RD STE 213
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4488
Practice Address - Country:US
Practice Address - Phone:734-347-8684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPOWERING SERENITY & GUIDANCE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty