Healthcare Provider Details

I. General information

NPI: 1538084389
Provider Name (Legal Business Name): CLAYTON ROBINSON MA, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CLAY ROBINSON MA, LPC

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 STONE MYERS PKWY STE 100
GRAPEVINE TX
76051-4783
US

IV. Provider business mailing address

2451 STONE MYERS PKWY STE 100
GRAPEVINE TX
76051-4783
US

V. Phone/Fax

Practice location:
  • Phone: 817-906-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: