Provider Demographics
NPI:1003523929
Name:ROBBINS, MARIYAH (LMFTA)
Entity Type:Individual
Prefix:MRS
First Name:MARIYAH
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:MISS
Other - First Name:MARIYAH
Other - Middle Name:
Other - Last Name:SENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:854 JIM BLAKE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-7701
Mailing Address - Country:US
Mailing Address - Phone:520-449-4793
Mailing Address - Fax:
Practice Address - Street 1:854 JIM BLAKE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-7701
Practice Address - Country:US
Practice Address - Phone:520-449-4793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12472A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist