MEDICARE: EMERGING MINDS CHILDREN'S CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1649134271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGING MINDS CHILDREN'S CENTER

Provider Business Mailing Address
First Line	:	22371 W VILLAGE DR
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22371 W VILLAGE DR
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2236
Country	:	US
Telephone Number	:	313-800-2121
Fax Number	:

Authorized Official
Title or Position	:	ORGANIZER
Name	:	AMANDA KAROUT
Credential	:	BCBA
Telephone Number	:	313-800-2121

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “EMERGING MINDS CHILDREN'S CENTER ” Practice Location

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