Provider Demographics
NPI:1760285290
Name:ROBINSON, TAMIKA LASHELLA
Entity type:Individual
Prefix:
First Name:TAMIKA
Middle Name:LASHELLA
Last Name:ROBINSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8146 WALNUT VALLEY CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-9193
Mailing Address - Country:US
Mailing Address - Phone:228-609-9224
Mailing Address - Fax:
Practice Address - Street 1:1355 LYNNFIELD RD STE 189
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5838
Practice Address - Country:US
Practice Address - Phone:901-300-0403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN78721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical