Provider Demographics
NPI:1316222946
Name:ROBBINS, GERRI A (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:GERRI
Middle Name:A
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 MULBERRY ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2728
Mailing Address - Country:US
Mailing Address - Phone:478-314-2454
Mailing Address - Fax:478-314-2419
Practice Address - Street 1:577 MULBERRY ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2728
Practice Address - Country:US
Practice Address - Phone:478-314-2454
Practice Address - Fax:478-314-2419
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000960106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist