Robinwilde Integrated Medicine, LLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ROBINWILDE INTEGRATED MEDICINE, LLLP

Doing business as

Robinwild Integrated Medicine LLLP

Practice address

507 Watson Bay
Stone Mountain, GA 30087-6121

Phone

(678) 651-4022

NPI assigned

Jan 25, 2021

Last updated

Jan 25, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ladeana Nicole Robinson

Title

Owner

Phone

(470) 364-7733

Specialties & licenses 1

Addresses

Other names 1

• Robinwild Integrated Medicine LLLP Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1821688706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WATSON BAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876121",
            "telephone_number": "678-651-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WATSON BAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876121",
            "telephone_number": "678-651-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINWILDE INTEGRATED MEDICINE, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LADEANA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-364-7733"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinwild Integrated Medicine LLLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Robinson
• Markitta Robinson, PHARMD
• Myriam K Robinson, CCC-SLP
• Zarinah N Robinson, LDO
• Robinwild Integrated Medicine LLC
• Rock Health Inc (Rock Primary Care & Wellness Clinic)
• Rockbridge West Park Medical Association PC Medical Office
• Audrey Denise Rodgers, LCSW
• Niove Rodriguez
• Rolling Rose, Inc.

• Psychologist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.