Healthcare Provider Details

I. General information

NPI: 1285307959
Provider Name (Legal Business Name): ROBINTA CALIXTE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6089
US

IV. Provider business mailing address

200 JENSEN DR
GROVELAND FL
34736-8262
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-2700
  • Fax: 954-277-2704
Mailing address:
  • Phone: 407-341-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19429
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: