Provider Demographics
NPI:1568810968
Name:ROBBINS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ROBBINS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS-BADGEROW
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:989-686-4638
Mailing Address - Street 1:721 WASHINGTON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5724
Mailing Address - Country:US
Mailing Address - Phone:989-686-4638
Mailing Address - Fax:
Practice Address - Street 1:721 WASHINGTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5724
Practice Address - Country:US
Practice Address - Phone:989-686-4638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010680071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty