Provider Demographics
NPI:1932955614
Name:EMOTION ALCHEMY COLLECTIVE PLLC
Entity Type:Organization
Organization Name:EMOTION ALCHEMY COLLECTIVE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:M
Authorized Official - Last Name:M HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-405-9642
Mailing Address - Street 1:2934 S SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-1678
Mailing Address - Country:US
Mailing Address - Phone:313-405-9642
Mailing Address - Fax:
Practice Address - Street 1:2934 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-1678
Practice Address - Country:US
Practice Address - Phone:313-405-9642
Practice Address - Fax:720-600-4102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty