Provider Demographics
NPI:1780747717
Name:FITCH, ROBIN LEE (MS,MDIV,LPC)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LEE
Last Name:FITCH
Suffix:
Gender:F
Credentials:MS,MDIV,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2261 TRISTAN CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3640
Mailing Address - Country:US
Mailing Address - Phone:404-633-9995
Mailing Address - Fax:404-633-9959
Practice Address - Street 1:2261 TRISTAN CIR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3640
Practice Address - Country:US
Practice Address - Phone:404-633-9995
Practice Address - Fax:404-633-9959
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health