Healthcare Provider Details

I. General information

NPI: 1285389437
Provider Name (Legal Business Name): ROBYN RACHELLE KUIPER MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6402 98TH ST STE 200
LUBBOCK TX
79424-9704
US

IV. Provider business mailing address

6904 90TH ST
LUBBOCK TX
79424-8900
US

V. Phone/Fax

Practice location:
  • Phone: 480-401-2350
  • Fax:
Mailing address:
  • Phone: 636-542-2237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number93033
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLAC-20012
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22120
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: