Provider Demographics
NPI:1174270169
Name:ROBINSON, MIKAILA (MS)
Entity Type:Individual
Prefix:MISS
First Name:MIKAILA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 WESTGATE CIR STE 220
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8580
Mailing Address - Country:US
Mailing Address - Phone:615-866-9386
Mailing Address - Fax:
Practice Address - Street 1:1604 WESTGATE CIR STE 220
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8580
Practice Address - Country:US
Practice Address - Phone:615-866-9386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health