Organization
EMPOWERING RESILIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKIA CROOK PMHNP-BC (ADMINISTRATOR)
(313) 334-9042
Entity
Organization
Contact information
Practice address
48203 PRIMROSE DR, MACOMB, MI 48044-2354
(586) 221-0710
Mailing address
48203 PRIMROSE DR, MACOMB, MI 48044-2354
(313) 334-9042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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