Emanuel T. Vanbolden, Phd, Lp, Pc - Mental Health Clinic in Detroit, MI

Emanuel T. Vanbolden, Phd, Lp, Pc is a mental health clinic (Community/behavioral Health) in Detroit, Michigan. The current practice location for Emanuel T. Vanbolden, Phd, Lp, Pc is 60 Farnsworth St, Detroit, Michigan. For appointments, you can reach them via phone at (313) 577-2840. The mailing address for Emanuel T. Vanbolden, Phd, Lp, Pc is 42335 Woodward Ave, Bloomfield Hills, Michigan and phone number is () -.

Emanuel T. Vanbolden, Phd, Lp, Pc is licensed to practice in Michigan (license number 6301013909) and its NPI number is 1013217660. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (313) 577-2840.

Contact Information

Emanuel T. Vanbolden, Phd, Lp, Pc
60 Farnsworth St
Detroit
MI 48202-4060
(313) 577-2840
(313) 577-8949

Mental Health Clinic Profile

Full NameEmanuel T. Vanbolden, Phd, Lp, Pc
SpecialityCommunity/behavioral Health
Location60 Farnsworth St, Detroit, Michigan
Authorized Official Name and PositionEmanuel T. Vanbolden (OWNER)
Authorized Official Contact2483331083
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emanuel T. Vanbolden, Phd, Lp, Pc
42335 Woodward Ave
Bloomfield Hills
MI 48304-5040

Ph: () -
Emanuel T. Vanbolden, Phd, Lp, Pc
60 Farnsworth St
Detroit
MI 48202-4060

Ph: (313) 577-2840

NPI Details:

NPI Number1013217660
Provider Enumeration Date10/29/2010
Last Update Date10/29/2010

Medical Identifiers

Medical identifiers for Emanuel T. Vanbolden, Phd, Lp, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013217660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health 6301013909 (Michigan)Primary

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