Organization
AWAKENING XPERIENCE PSYCHOLOGICAL SERVICES
Active
Other names
Awakening Xperience Psychological Services, Awakening Xperience Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE CAMILLE TUCKER (CEO)
(313) 221-4313
Entity
Organization
Contact information
Practice address
31042 VERONA ST, FARMINGTON HILLS, MI 48331-1459
(313) 221-4313
Mailing address
31042 VERONA ST, FARMINGTON HILLS, MI 48331-1459
(313) 221-4313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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