Provider Demographics
NPI:1235390964
Name:ROBINSON, TARSHA DE'LAVETTE (MHPP)
Entity Type:Individual
Prefix:
First Name:TARSHA
Middle Name:DE'LAVETTE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 FRAZIER PIKE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-9635
Mailing Address - Country:US
Mailing Address - Phone:870-209-2182
Mailing Address - Fax:
Practice Address - Street 1:4206 FRAZIER PIKE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-9635
Practice Address - Country:US
Practice Address - Phone:870-209-2182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
AR171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor