Healthcare Provider Details

I. General information

NPI: 1134059421
Provider Name (Legal Business Name): TESIA ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 W HILL ST
DECATUR GA
30030-4367
US

IV. Provider business mailing address

1730 GLENHURST WAY
SNELLVILLE GA
30078-6767
US

V. Phone/Fax

Practice location:
  • Phone: 404-482-2048
  • Fax:
Mailing address:
  • Phone: 404-754-5478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: