Healthcare Provider Details

I. General information

NPI: 1306458849
Provider Name (Legal Business Name): ROBIN L PERCHES LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 W NOB HILL BLVD RM 1
YAKIMA WA
98902-4732
US

IV. Provider business mailing address

1215 S 25TH AVE
YAKIMA WA
98902-5125
US

V. Phone/Fax

Practice location:
  • Phone: 509-901-7006
  • Fax:
Mailing address:
  • Phone: 509-901-7006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberSC61089143
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSC61089143
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLW61607470
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: