Provider Demographics
NPI:1750552188
Name:ROBINS FAMILY THERAPY LLC
Entity type:Organization
Organization Name:ROBINS FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ISAACS
Authorized Official - Last Name:ROBINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-849-5505
Mailing Address - Street 1:4651 WOODSTOCK RD
Mailing Address - Street 2:SUITE 208-265
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075
Mailing Address - Country:US
Mailing Address - Phone:404-849-5505
Mailing Address - Fax:770-726-9555
Practice Address - Street 1:3207 SOUTH CHEROKEE LANE
Practice Address - Street 2:SUITE 440
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188
Practice Address - Country:US
Practice Address - Phone:404-849-5505
Practice Address - Fax:770-726-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW003104104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty