Healthcare Provider Details

I. General information

NPI: 1508771643
Provider Name (Legal Business Name): EMPOWERING MINDS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

783 RUFF DR
MONROE MI
48162-3581
US

IV. Provider business mailing address

1285 N TELEGRAPH RD # 115
MONROE MI
48162-3368
US

V. Phone/Fax

Practice location:
  • Phone: 734-410-5182
  • Fax:
Mailing address:
  • Phone: 734-410-5182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY RENEE EMERSON
Title or Position: LIMITED LICENSE PSYCHOLOGIST
Credential: LLP
Phone: 734-410-5182