EBONY DE-SHONIA WILLIS NPI 1487205787

NPI Information

  • NPI: 1487205787
  • Provider Name: EBONY DE-SHONIA WILLIS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 835 MASON ST STE B295-A
    DEARBORN, MI
    ZIP 48124
  • Phone: (734) 265-0890

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NPI Details

Ebony De-shonia Willis is a mental health counselor in Dearborn, MI. Ebony De-shonia Willis NPI is 1487205787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

835 MASON ST STE B295-A
DEARBORN, MI
ZIP 48124-231
Phone: (734) 265-0890
Fax: (734) 895-3957

The NPI 1487205787 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/27/2019 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health6401223961MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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