Chenault-Robinson, Octavia R

Chenault-Robinson, Octavia R is an individual health care provider with primary practice located at Po Box 80774 , Saint Clair Shores MI 48080-5774. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Chenault-Robinson, Octavia R can be contacted via phone (734) 548-2682.

Contact Information

Primary practice address
Po Box 80774 Saint Clair Shores MI 48080-5774
Phone: (734) 548-2682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0000000000000001 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 0000000000000001 Michigan
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6853088696 Michigan

Profile Details

NPI number 1225816572
LBN Legal business name Chenault-Robinson, Octavia R
Credentials CPHT, LLPC, LSST, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2023
Last updated Jul 12th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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