Healthcare Provider Details
I. General information
NPI: 1811326366
Provider Name (Legal Business Name): KATHRYN M ROBINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/05/2013
Last Update Date: 05/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 AIRPORT RD
TERRELL TX
75160-4302
US
IV. Provider business mailing address
103 BLUEBIRD STREET
MT. PLEASANT TX
75455-2101
US
V. Phone/Fax
- Phone: 972-524-4159
- Fax: 972-563-4433
- Phone: 903-434-2150
- Fax: 903-717-8822
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 68773 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: