Provider Demographics
NPI:1356639900
Name:LASSETER, ROBIN ELIZABETH (NCC, LAPC)
Entity Type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:ELIZABETH
Last Name:LASSETER
Suffix:
Gender:F
Credentials:NCC, LAPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23 EASTBROOK BND
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1565
Mailing Address - Country:US
Mailing Address - Phone:770-716-1444
Mailing Address - Fax:678-669-2693
Practice Address - Street 1:23 EASTBROOK BND
Practice Address - Street 2:SUITE 200
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1565
Practice Address - Country:US
Practice Address - Phone:770-716-1444
Practice Address - Fax:678-669-2693
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC003002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional