Provider Demographics
NPI:1649449992
Name:ABRAHAM, STEPHEN ABIODUN (MA, BSW, CAC-I)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:ABIODUN
Last Name:ABRAHAM
Suffix:
Gender:M
Credentials:MA, BSW, CAC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7845 MIDDLEBELT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-2174
Mailing Address - Country:US
Mailing Address - Phone:734-721-0900
Mailing Address - Fax:
Practice Address - Street 1:7845 MIDDLEBELT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-2174
Practice Address - Country:US
Practice Address - Phone:734-721-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-00091101YA0400X
MI6802065259104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)