Healthcare Provider Details

I. General information

NPI: 1326961954
Provider Name (Legal Business Name): KAYTLYN ELISE ROBBINS LADC, MHRT/C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 BATES LN APT 6
WINDHAM ME
04062-5659
US

IV. Provider business mailing address

12 BATES LN APT 6
WINDHAM ME
04062-5659
US

V. Phone/Fax

Practice location:
  • Phone: 207-714-0075
  • Fax:
Mailing address:
  • Phone: 207-714-0075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLC9131
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: