Healthcare Provider Details

I. General information

NPI: 1710567169
Provider Name (Legal Business Name): HEARTS & MINDS EMPOWERED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2021
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36400 WOODWARD AVE STE 202
BLOOMFIELD HILLS MI
48304-0913
US

IV. Provider business mailing address

36400 WOODWARD AVE STE 202
BLOOMFIELD HILLS MI
48304-0913
US

V. Phone/Fax

Practice location:
  • Phone: 248-218-9436
  • Fax:
Mailing address:
  • Phone: 248-760-5362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHLEEN M WHIPPLE-MULDOON
Title or Position: FOUNDER
Credential: M.S., LMFT, CAADC
Phone: 248-760-5362