Provider Demographics
NPI:1831537844
Name:ROBINSON, RONALD EUGENE (LADAC)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:EUGENE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6852 INNSBROOK CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-5305
Mailing Address - Country:US
Mailing Address - Phone:901-581-9804
Mailing Address - Fax:901-373-9298
Practice Address - Street 1:2165 SPICER CV
Practice Address - Street 2:SUITE 5
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-5623
Practice Address - Country:US
Practice Address - Phone:469-547-3890
Practice Address - Fax:901-373-9298
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDC0000000874101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)