Provider Demographics
NPI:1477873834
Name:RIBBINS, MARKIAL T
Entity Type:Individual
Prefix:MISS
First Name:MARKIAL
Middle Name:T
Last Name:RIBBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARKIAL
Other - Middle Name:
Other - Last Name:RIBBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHSA
Mailing Address - Street 1:5160 RICE RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2052
Mailing Address - Country:US
Mailing Address - Phone:615-964-7034
Mailing Address - Fax:
Practice Address - Street 1:5160 RICE RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2052
Practice Address - Country:US
Practice Address - Phone:615-964-7034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator