Provider Demographics
NPI:1831603240
Name:RUSHING-ROBINSON, MARION (COUNSELOR)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:
Last Name:RUSHING-ROBINSON
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E KINGS HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3401
Mailing Address - Country:US
Mailing Address - Phone:318-606-5335
Mailing Address - Fax:318-606-5671
Practice Address - Street 1:106 E KINGS HWY STE 101
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3401
Practice Address - Country:US
Practice Address - Phone:318-606-5335
Practice Address - Fax:318-606-5671
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician