Provider Demographics
NPI:1417923764
Name:ROBBINS, NANCY MILLS
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MILLS
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 TOWN CENTER DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3215
Mailing Address - Country:US
Mailing Address - Phone:703-541-6293
Mailing Address - Fax:703-481-7223
Practice Address - Street 1:1800 TOWN CENTER DR
Practice Address - Street 2:SUITE 420
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3215
Practice Address - Country:US
Practice Address - Phone:703-541-6293
Practice Address - Fax:703-481-7223
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001871101YP2500X
VA0717000152106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA019429OtherVALUE OPTIONS
VA205861OtherPHCS
VA202883OtherKAISER
VAPV6395OtherAPS
VA417269OtherUNITEDHEALTHCARE
VA417269OtherMAMSI
VA096342000OtherMAGELLAN
VA6261OtherCAREFIRST BCBS
VA256920OtherANTHEM/TRIGON
VA304113OtherMHN
VA5784095OtherAETNA