Ebony Mullen, is a
Counselor - Mental Health based in Detroit, Michigan. Ebony Mullen is licensed to practice in Michigan (license number 6451023142) and her current practice location is
6309 Mack Ave, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 247-2580.
NPI number for Ebony Mullen is 1770317042 and her current mailing address is 6309 Mack Ave, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770317042.
Healthcare Provider's Profile
Full Name | Ebony Mullen |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6309 Mack Ave, Detroit, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770317042
- Provider Enumeration Date: 08/29/2024
- Last Update Date: 09/04/2024
Medical Identifiers
Medical identifiers for Ebony Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770317042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6451023142 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | 6451023142 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Mullen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ebony Mullen, 6309 Mack Ave, Detroit, MI 48207-2302 Ph: (313) 247-2580 | Ebony Mullen, 6309 Mack Ave, Detroit, MI 48207-2302 Ph: (313) 247-2580 |
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