Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Mullen

Individual provider Clinical Social Worker · NPI 1770317042

Ebony Mullen is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

6309 Mack Ave
Detroit, MI 48207-2302
Phone: (313) 247-2580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451023142 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6451023142 (MI)

Record details

NPI number1770317042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2024
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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