Healthcare Provider Details

I. General information

NPI: 1801691175
Provider Name (Legal Business Name): RACHEL ROBILIO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 CONCORD RD SE
SMYRNA GA
30080-4361
US

IV. Provider business mailing address

1151 PINEDALE DR SE
SMYRNA GA
30080-4318
US

V. Phone/Fax

Practice location:
  • Phone: 770-438-1799
  • Fax:
Mailing address:
  • Phone: 901-834-9568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN329401
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: