=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003726910
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANTLEY JAMES ROBISON LMFT-ASSOCIATE
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2026
-----------------------------------------------------
Last Update Date | 09/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6633 US-290 #303
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78723
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-428-4480
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14205 N MO PAC EXPY STE 570
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78728-6529
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 737-237-6020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 206648
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------