MEDICARE: ROBBINS COUNSELING SERVICES LLC

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	1041C0700X	Clinical Social Worker	6801068007	MI

General Provider Information

NPI Number	:	1568810968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBBINS COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	721 WASHINGTON AVE STE 300
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5724
Country	:	US
Telephone Number	:	989-686-4638
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 WASHINGTON AVE STE 300
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5724
Country	:	US
Telephone Number	:	989-686-4638
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	JUNE ROBBINS-BADGEROW
Credential	:	LMSW
Telephone Number	:	989-686-4638

Provider Enumeration Date	:	05/26/2016
Last Update Date	:	05/26/2016

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