Robertson, Famika Lashell

Robertson, Famika Lashell is an individual health care provider with primary practice located at 5701 Mableton Pkwy Sw Ste 414 , Mableton GA 30126-3363. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Robertson, Famika Lashell can be contacted via phone (833) 227-2489.

Contact Information

Primary practice address
5701 Mableton Pkwy Sw Ste 414 Mableton GA 30126-3363
Phone: (833) 227-2489
Fax: (770) 415-7200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13850 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102892 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 802342 Georgia

Profile Details

NPI number 1427448836
LBN Legal business name Robertson, Famika Lashell
Credentials PH. D., CAADC, SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2015
Last updated Nov 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427448836 NPPES
Other 0 N/A
Other 20618 N/A
Other 3058-R N/A
Other CERT 683 N/A
Other ICADC-802342 N/A
Other NAMS1 N/A
Other 4567 N/A
Other CSAC-0710102892 N/A
Other CSAC-13850 N/A
Other 4567 N/A

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