Healthcare Provider Details

I. General information

NPI: 1366598070
Provider Name (Legal Business Name): MARISA A ROBBINS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MAIN ST STE 103
MANSFIELD MA
02048-3144
US

IV. Provider business mailing address

10 BASSWOOD AVE APT B5
NORTH ATTLEBORO MA
02760-2969
US

V. Phone/Fax

Practice location:
  • Phone: 508-261-7111
  • Fax:
Mailing address:
  • Phone: 508-212-4724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6402
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: