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NPI Code Detail

MEDICARE: TARSHA DE'LAVETTE ROBINSON MHPP

MEDICARE:   TARSHA DE'LAVETTE ROBINSON  MHPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2171M00000XCase Manager/Care CoordinatorAR

General Provider Information

NPI Number : 1235390964
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARSHA DE'LAVETTE ROBINSON MHPP
Provider Business Mailing Address
First Line : 4206 FRAZIER PIKE
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72206-9635
Country : US
Telephone Number : 870-209-2182
Fax Number :
Provider Business Practice Location Address
First Line : 4206 FRAZIER PIKE
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72206-9635
Country : US
Telephone Number : 870-209-2182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 12/06/2023

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Directions to “ TARSHA DE'LAVETTE ROBINSON MHPP” Practice Location

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