Dr Famika Lashell Robertson, PH D, CAADC, SAP is a
Psychologist - Addiction (substance Use Disorder) based in Mableton, Georgia. Dr Famika Lashell Robertson is licensed to practice in Georgia (license number 802342) and her current practice location is
5701 Mableton Pkwy Sw Ste 414, Mableton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(833) 227-2489.
NPI number for Dr Famika Lashell Robertson is 1427448836 and her current mailing address is 5701 Mableton Pkwy Sw Ste 414, Mableton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427448836.
Healthcare Provider's Profile
| Full Name | Dr Famika Lashell Robertson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
|---|
| Location | 5701 Mableton Pkwy Sw Ste 414, Mableton, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427448836
- Provider Enumeration Date: 01/23/2015
- Last Update Date: 11/24/2020
Medical Identifiers
Medical identifiers for Dr Famika Lashell Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427448836 | NPI | - | NPPES |
| 0 | Other | | N/A |
| 20618 | Other | GA | DOT-SUBSTANCE ABUSE PROFESSIONAL |
| 3058-R | Other | GA | CAC-II GEORGIA |
| CERT 683 | Other | GA | LIFE COACH |
| ICADC-802342 | Other | NC | IC/RC ALCOHOL DRUG COUNSELOR |
| NAMS1 | Other | GA | NATIONAL ANGER MANAGEMENT SPECIALIST |
| 4567 | Other | GA | CISD TRAUMA SPECIALIST |
| CSAC-0710102892 | Other | VA | CERTIFIED SUBSTANCE ABUSE COUNSELOR |
| CSAC-13850 | Other | NC | CERTIFIED SUBSTANCE ABUSE COUNSELOR |
| 4567 | Other | GA | NRC SUBSTANCE ABUSE EXPERT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13850 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102892 (Virginia) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 802342 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Famika Lashell Robertson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Famika Lashell Robertson, PH D, CAADC, SAP
5701 Mableton Pkwy Sw Ste 414,
Mableton, GA 30126-3363
Ph: (833) 227-2489 | Dr Famika Lashell Robertson, PH D, CAADC, SAP
5701 Mableton Pkwy Sw Ste 414,
Mableton, GA 30126-3363
Ph: (833) 227-2489 |
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