Healthcare Provider Details

I. General information

NPI: 1316705668
Provider Name (Legal Business Name): SHALETHA MILLER ROBINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E PALM VALLEY BLVD STE 240
ROUND ROCK TX
78664-3043
US

IV. Provider business mailing address

505 E PALM VALLEY BLVD STE 240
ROUND ROCK TX
78664-3043
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 TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number86710
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: