Provider Demographics
NPI:1740807569
Name:EMOTIONAL EMPOWERMENT SERVICES PLLC
Entity type:Organization
Organization Name:EMOTIONAL EMPOWERMENT SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAMERINK
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-892-5899
Mailing Address - Street 1:159 S HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1615
Mailing Address - Country:US
Mailing Address - Phone:734-895-5374
Mailing Address - Fax:
Practice Address - Street 1:159 S HARVEY ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1615
Practice Address - Country:US
Practice Address - Phone:734-895-5374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty