| Doctor Name: | F. LASHELL ROBERTSON |
| NPI Number: | 1427448836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, ICADC |
| License Number: | 0710102892 |
| Business Practice Address: | 5701 Mableton Pkwy Sw Suite# 102 Mableton, GA - 301263395 |
| Business Phone Number: | 7704157200 |
| Business Fax Number: | 4706890006 |
| Mailing Address: | 5701 Mableton Pkwy Sw, Suite# 102 MABLETON |
| State: | GA |
| Postal Code: | 301263395 |
| Phone Number: | 7704157200 |
| Fax Number: | 4706890006 |
| NPI Enumeration Date: | 01/23/2015 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0710102892 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |