Mrs Octavia R Chenault-robinson, CPHT, LLPC, LSST, MA is a
Community Health Worker based in Saint Clair Shores, Michigan. Mrs Octavia R Chenault-robinson is licensed to practice in Michigan (license number 2024375) and her current practice location is
Po Box 80774, Saint Clair Shores, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 548-2682.
NPI number for Mrs Octavia R Chenault-robinson is 1225816572 and her current mailing address is Po Box 80774, Saint Clair Shores, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225816572.
Healthcare Provider's Profile
Full Name | Mrs Octavia R Chenault-robinson |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | Po Box 80774, Saint Clair Shores, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225816572
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 10/06/2024
Medical Identifiers
Medical identifiers for Mrs Octavia R Chenault-robinson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225816572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 0000000000000001 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 0000000000000001 (Michigan) | Secondary |
171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | 6853088696 (Michigan) | Secondary |
172V00000X | Community Health Worker | 2024375 (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. Mrs Octavia R Chenault-robinson 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 |
Mrs Octavia R Chenault-robinson, CPHT, LLPC, LSST, MA Po Box 80774, Saint Clair Shores, MI 48080-5774 Ph: (734) 548-2682 | Mrs Octavia R Chenault-robinson, CPHT, LLPC, LSST, MA Po Box 80774, Saint Clair Shores, MI 48080-5774 Ph: (734) 548-2682 |
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