Provider Demographics
NPI:1295360238
Name:EMPOWERING SERENITY & GUIDANCE , PLLC
Entity Type:Organization
Organization Name:EMPOWERING SERENITY & GUIDANCE , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
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:248-834-2614
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:248-834-2614
Mailing Address - Fax:248-382-8110
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:248-834-2614
Practice Address - Fax:248-382-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health