Healthcare Provider Details
I. General information
NPI: 1700104692
Provider Name (Legal Business Name): ROBBIE ROBINSON HUTCHENS MMFT, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/17/2010
Last Update Date: 05/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
103 MAPLE ST
SMYRNA TN
37167-2631
US
IV. Provider business mailing address
103 MAPLE ST
SMYRNA TN
37167-2631
US
V. Phone/Fax
- Phone: 615-355-4200
- Fax: 615-355-4240
- Phone: 615-355-4200
- Fax: 615-355-4240
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 0728 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: