Provider Demographics
NPI:1780459800
Name:ROBBINS, ANNIE MORGAN
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:MORGAN
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:SEBASTIAN
Other - Middle Name:CRUSH
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:464 PLEASANT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2527
Mailing Address - Country:US
Mailing Address - Phone:203-501-3208
Mailing Address - Fax:
Practice Address - Street 1:464 PLEASANT ST FL 2
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2527
Practice Address - Country:US
Practice Address - Phone:203-501-3208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor