MEDICARE: ROBIN I GRAVLIN LLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	6451024273	MI

General Provider Information

NPI Number	:	1306453733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN I GRAVLIN LLPC

Provider Business Mailing Address
First Line	:	37500 GARFIELD RD STE 175
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48036-3664
Country	:	US
Telephone Number	:	586-792-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	37500 GARFIELD RD STE 175
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48036-3664
Country	:	US
Telephone Number	:	586-792-5335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	08/12/2025

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