Provider Demographics
NPI:1871109694
Name:ROBINSON, SHAYLA (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3028 UTAH ST
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-1786
Mailing Address - Country:US
Mailing Address - Phone:615-988-0322
Mailing Address - Fax:
Practice Address - Street 1:2563 ROSALEE CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3049
Practice Address - Country:US
Practice Address - Phone:423-290-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3508101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty