Provider Demographics
NPI:1316711740
Name:ROBINSON, TABRYA LASHE
Entity type:Individual
Prefix:
First Name:TABRYA
Middle Name:LASHE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3161 PINE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-3036
Mailing Address - Country:US
Mailing Address - Phone:330-423-3998
Mailing Address - Fax:
Practice Address - Street 1:3161 PINE HOLLOW DR
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-3036
Practice Address - Country:US
Practice Address - Phone:330-423-3998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant