Provider Demographics
NPI:1679103261
Name:CHESTER, ROBIN (PHD, LPC, MHSP)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:CHESTER
Suffix:
Gender:M
Credentials:PHD, LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 CHICKASAW DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7427
Mailing Address - Country:US
Mailing Address - Phone:615-525-4860
Mailing Address - Fax:
Practice Address - Street 1:1215 CHICKASAW DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7427
Practice Address - Country:US
Practice Address - Phone:615-525-4860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4520101Y00000X, 251S00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No251S00000XAgenciesCommunity/Behavioral Health