Provider Demographics
NPI:1790198497
Name:EMPOWERMENT ADVOCACY GROUP, LLC
Entity Type:Organization
Organization Name:EMPOWERMENT ADVOCACY GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANISH
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:STIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-268-2711
Mailing Address - Street 1:3233 COOLIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1633
Mailing Address - Country:US
Mailing Address - Phone:248-268-2711
Mailing Address - Fax:248-586-1300
Practice Address - Street 1:3233 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1633
Practice Address - Country:US
Practice Address - Phone:248-268-2711
Practice Address - Fax:248-586-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management