Healthcare Provider Details

I. General information

NPI: 1134953706
Provider Name (Legal Business Name): REBECCA SUSAN ROBBINS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10116 NE 185TH ST
BOTHELL WA
98011-3434
US

IV. Provider business mailing address

10116 NE 185TH ST
BOTHELL WA
98011-3434
US

V. Phone/Fax

Practice location:
  • Phone: 206-308-7989
  • Fax:
Mailing address:
  • Phone: 206-308-7989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61242581
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: