Provider Demographics
NPI:1316794829
Name:ROBBINS, LAFEWANDA ANITTRA
Entity type:Individual
Prefix:MRS
First Name:LAFEWANDA
Middle Name:ANITTRA
Last Name:ROBBINS
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 1:4807 MUSKOGEE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8229
Mailing Address - Country:US
Mailing Address - Phone:704-575-6011
Mailing Address - Fax:
Practice Address - Street 1:4807 MUSKOGEE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8229
Practice Address - Country:US
Practice Address - Phone:704-575-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical