Provider Demographics
NPI:1871020461
Name:ROBINSON-MOSLEY, T.M. (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:T.M.
Middle Name:
Last Name:ROBINSON-MOSLEY
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 E COLLEGE AVE UNIT 424
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3794
Mailing Address - Country:US
Mailing Address - Phone:251-463-9242
Mailing Address - Fax:
Practice Address - Street 1:403 W PONCE DE LEON AVE STE 103
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2445
Practice Address - Country:US
Practice Address - Phone:470-240-1755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009592101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional