Provider Demographics
NPI:1861939373
Name:LINE-ROBBINS, WENDI (LAPC)
Entity type:Individual
Prefix:MRS
First Name:WENDI
Middle Name:
Last Name:LINE-ROBBINS
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2993 SANDY PLAINS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4695
Mailing Address - Country:US
Mailing Address - Phone:678-964-4739
Mailing Address - Fax:
Practice Address - Street 1:2993 SANDY PLAINS RD STE 110
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4695
Practice Address - Country:US
Practice Address - Phone:678-964-4739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-22
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC005409101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health