Healthcare Provider Details

I. General information

NPI: 1518096197
Provider Name (Legal Business Name): EBONY M ROBBS MS, MA, CADC, SATS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 OAKMAN BLVD STE C
DETROIT MI
48238-4019
US

IV. Provider business mailing address

PO BOX 28172
DETROIT MI
48228-0172
US

V. Phone/Fax

Practice location:
  • Phone: 313-961-4890
  • Fax:
Mailing address:
  • Phone: 313-657-8106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: