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NPI Code Detail

MEDICARE: MRS. ROBIN GAYE CIKANEK LMHC

MEDICARE: MRS. ROBIN GAYE CIKANEK LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor001009IA

General Provider Information

NPI Number : 1770008146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBIN GAYE CIKANEK LMHC
Provider Business Mailing Address
First Line : 1636 NW 92ND ST
Second Line :
City : CLIVE
State : IA
Zip : 50325-6282
Country : US
Telephone Number : 515-505-0639
Fax Number : 515-266-6808
Provider Business Practice Location Address
First Line : 3451 EASTON BLVD
Second Line :
City : DES MOINES
State : IA
Zip : 50317-3214
Country : US
Telephone Number : 515-262-0349
Fax Number : 515-266-6808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2017
Last Update Date : 08/07/2017

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