Provider Demographics
NPI:1356751382
Name:ROBBINS, ANTHONY SCOTT (MED MA LMHCA)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:SCOTT
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MED MA LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 BISHOP RD SW STE 105
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7303
Mailing Address - Country:US
Mailing Address - Phone:360-236-7546
Mailing Address - Fax:360-352-5330
Practice Address - Street 1:7223 BRONINGTON DR SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7393
Practice Address - Country:US
Practice Address - Phone:916-212-4880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60413114101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health