Healthcare Provider Details

I. General information

NPI: 1871400291
Provider Name (Legal Business Name): DIVYA ROBIN LMHC PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 PARK ST
MONTCLAIR NJ
07042-3915
US

IV. Provider business mailing address

217 PARK ST
MONTCLAIR NJ
07042-3915
US

V. Phone/Fax

Practice location:
  • Phone: 630-346-2761
  • Fax:
Mailing address:
  • Phone: 630-346-2761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DIVYA RACHEL ROBIN
Title or Position: OWNER/MANAGING MEMBER
Credential: LMHC, LPC
Phone: 630-346-2761