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Contact Information

ROBINWILD INTEGRATED MEDICINE LLC
507 WATSON BAY
STONE MOUNTAIN, GA30087-6121
 Phone: 678-651-4022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Family

103TF0000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBINWILD INTEGRATED MEDICINE LLC · (Female)

NPI # 1700471133
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2021
Last updated 03/08/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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