Ebony Willis

NPI 1487205787 · on the registry since 2019

Practice

Address: 835 Mason St Ste B295-A
Dearborn, MI 48124
Phone: (734) 265-0890
Fax: (734) 895-3957
Organisation at this address: Numina Llc
Swiftscript Rx, Llc
H Rizk Consulting, Llc
Saratonin Wellness Pllc
D.A.S Creative Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 61

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan