Healthcare Provider Details

I. General information

NPI: 1952266108
Provider Name (Legal Business Name): ANTORIA ROBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 170071
MILWAUKEE WI
53217-8000
US

IV. Provider business mailing address

PO BOX 170071
MILWAUKEE WI
53217-8000
US

V. Phone/Fax

Practice location:
  • Phone: 608-515-8036
  • Fax:
Mailing address:
  • Phone: 608-515-8036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWI
# 4
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number135754-121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: