Provider Demographics
NPI:1487930814
Name:ROBIN FERRIS, ACSW, PLLC
Entity type:Organization
Organization Name:ROBIN FERRIS, ACSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER, COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW, LMSW
Authorized Official - Phone:248-207-1213
Mailing Address - Street 1:37677 PROFESSIONAL CENTER DR
Mailing Address - Street 2:STE. 125-C
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1192
Mailing Address - Country:US
Mailing Address - Phone:248-207-1213
Mailing Address - Fax:248-207-1213
Practice Address - Street 1:37677 PROFESSIONAL CENTER DR
Practice Address - Street 2:STE. 125-C
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1192
Practice Address - Country:US
Practice Address - Phone:248-207-1213
Practice Address - Fax:248-207-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty