| Emerge And Evolve Therapy Pllc | |
|
4902 Chilson Rd Howell MI 48843-9453 | |
| (248) 385-2524 | |
| Not Available |
| Full Name | Emerge And Evolve Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4902 Chilson Rd, Howell, Michigan |
| Authorized Official Name and Position | Jacquelyn Provenzola (OWNER/PROVIDER) |
| Authorized Official Contact | 2483852524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerge And Evolve Therapy Pllc 4902 Chilson Rd Howell MI 48843-9453 Ph: () - | Emerge And Evolve Therapy Pllc 4902 Chilson Rd Howell MI 48843-9453 Ph: (248) 385-2524 |
| NPI Number | 1487341848 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487341848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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