MEDICARE: EMPOWERED TRANSITIONAL CONSULTING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1528416799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED TRANSITIONAL CONSULTING SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 35713
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-0713
Country	:	US
Telephone Number	:	734-686-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	18200 OAKFIELD ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-3281
Country	:	US
Telephone Number	:	734-686-7800
Fax Number	:

Authorized Official
Title or Position	:	JOB READINESS COACH
Name	:	MR. STEVEN J HENRY
Credential	:	MA, CPSS
Telephone Number	:	734-686-7800

Provider Enumeration Date	:	05/29/2016
Last Update Date	:	05/29/2016

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Directions to “EMPOWERED TRANSITIONAL CONSULTING SERVICES ” Practice Location

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