Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robinwild Integrated Medicine LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1700471133

Robinwild Integrated Medicine LLC is an Addiction (Substance Use Disorder) Counselor in Stone Mountain, Georgia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

507 Watson Bay
Stone Mountain, GA 30087-6121
Phone: (678) 651-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Family Psychologist Taxonomy 103TF0000X
Prescribing (Medical) Psychologist Taxonomy 103TP0016X

Record details

NPI number1700471133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffani Wilder — Cfo · (678) 651-4022
Other names Robinwild Integrated Medicine Llc
NPI enumeratedMarch 8, 2021
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address507 Watson Bay, Stone Mountain, GA 30087-6121

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