Organization
AWAKENING XPERIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE TUCKER PH.D (PSYCHOLOGIST)
(248) 880-9023
Entity
Organization
Contact information
Practice address
1511 1ST ST APT 1212, DETROIT, MI 48226-1361
(248) 880-9023
Mailing address
1511 1ST ST APT 1212, DETROIT, MI 48226-1361
(248) 880-9023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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