Provider Demographics
NPI:1528416799
Name:EMPOWERED TRANSITIONAL CONSULTING SERVICES
Entity Type:Organization
Organization Name:EMPOWERED TRANSITIONAL CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JOB READINESS COACH
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CPSS
Authorized Official - Phone:734-686-7800
Mailing Address - Street 1:PO BOX 35713
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-0713
Mailing Address - Country:US
Mailing Address - Phone:734-686-7800
Mailing Address - Fax:
Practice Address - Street 1:18200 OAKFIELD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3281
Practice Address - Country:US
Practice Address - Phone:734-686-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-29
Last Update Date:2016-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health