Robinwild Integrated Medicine Llc

LBN: Robinwild Integrated Medicine Llc
Robinwild Integrated Medicine Llc is an health care organization with primary practice located at 507 Watson Bay , Stone Mountain GA 30087-6121. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Robinwild Integrated Medicine Llc can be contacted via phone (678) 651-4022, or through Wilder, Tiffani via phone (678) 651-4022.

Contact Information

Primary practice address
507 Watson Bay Stone Mountain GA 30087-6121
Phone: (678) 651-4022
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilder, Tiffani
Phone: (678) 651-4022

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X

Profile Details

NPI number 1700471133
LBN Legal business name Robinwild Integrated Medicine Llc
DBA Doing business as
Authorized official Wilder, Tiffani
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2021
Last updated Mar 8th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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