Provider Demographics
NPI:1922570092
Name:EMPOWER PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:EMPOWER PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AGUIB
Authorized Official - Middle Name:
Authorized Official - Last Name:DIOP
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:248-838-9227
Mailing Address - Street 1:45200 STERRITT ST STE 105
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317-5844
Mailing Address - Country:US
Mailing Address - Phone:248-838-9227
Mailing Address - Fax:586-232-5523
Practice Address - Street 1:45200 STERRITT ST STE 105
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5844
Practice Address - Country:US
Practice Address - Phone:248-838-9227
Practice Address - Fax:586-232-5523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-29
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty