Provider Demographics
NPI:1851285480
Name:HATLE, ROBIN JEANNE (CPHT-ADV, CSPT, CHW)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:JEANNE
Last Name:HATLE
Suffix:
Gender:F
Credentials:CPHT-ADV, CSPT, CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 COUNTY ROAD 220
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-8467
Mailing Address - Country:US
Mailing Address - Phone:940-391-1245
Mailing Address - Fax:
Practice Address - Street 1:101 OLD TOWN BLVD S STE 102
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226-3969
Practice Address - Country:US
Practice Address - Phone:940-464-4500
Practice Address - Fax:940-464-4533
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21352172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker