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General NPI Number Information
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NPI Number | 1508771643
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Entity Type | Organization
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Legal Business Name | EMPOWERING MINDS THERAPY LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 783 RUFF DR
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City | MONROE
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State | MI
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Zip | 48162-3581
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Country | US
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Telephone | 734-410-5182
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Fax |
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Provider Business Mailing Address
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Address Line | 1285 N TELEGRAPH RD # 115
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City | MONROE
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State | MI
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Zip | 48162-3368
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Country | US
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Telephone | 734-410-5182
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Fax |
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Authorized Official
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Title or Position | LIMITED LICENSE PSYCHOLOGIST
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Name | LINDSAY RENEE EMERSON
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Credential | LLP
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Telephone | 734-410-5182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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