Provider Demographics
NPI:1376799973
Name:ROBINSON, JAMIE VENETIA (MA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:VENETIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3390 PEACHTREE RD NE STE 1102
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-2819
Mailing Address - Country:US
Mailing Address - Phone:404-442-4440
Mailing Address - Fax:404-442-4442
Practice Address - Street 1:3390 PEACHTREE RD NE STE 1102
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-2819
Practice Address - Country:US
Practice Address - Phone:404-442-4440
Practice Address - Fax:404-442-4442
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional