Healthcare Provider Details

I. General information

NPI: 1497576086
Provider Name (Legal Business Name): SCHWANNA HINES ROBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924C DAUPHIN ISLAND PKWY
MOBILE AL
36605-3004
US

IV. Provider business mailing address

216 CELESTE RD
SARALAND AL
36571-2005
US

V. Phone/Fax

Practice location:
  • Phone: 251-476-5733
  • Fax: 251-470-7249
Mailing address:
  • Phone: 251-423-8318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberALC04460
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: