# MELISSA ROBBINS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serenity Waiver Transition Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194451237
- **Authorized official:** MELISSA ROBBINS (OWNER/SERVICE FACILITATOR)
- **Authorized official phone:** (276) 780-2393

## Contact information

- **Practice address:** 643 BROOKS LN, SUGAR GROVE, VA 24375-3187
- **Practice address phone:** (276) 780-2393
- **Practice address fax:** (877) 840-5216
- **Mailing address:** 643 BROOKS LN, SUGAR GROVE, VA 24375-3187
- **Mailing address phone:** (276) 780-2393
- **Mailing address fax:** (877) 840-5216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2022
- **Last updated:** 07/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1619628872 | — | VA |
