Healthcare Provider Details

I. General information

NPI: 1043843873
Provider Name (Legal Business Name): PRENTISHA ROBINSON M.S. LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 KELLER SPRINGS RD STE 202
CARROLLTON TX
75006-3006
US

IV. Provider business mailing address

1735 KELLER SPRINGS RD STE 202
CARROLLTON TX
75006-3006
US

V. Phone/Fax

Practice location:
  • Phone: 844-824-8775
  • Fax:
Mailing address:
  • Phone: 844-824-8775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number80718
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: