NPI Code Details Logo

NPI 1952466633

NPI 1952466633 : ROBIN ELIZABETH SULLENS LMFT : DALLAS, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952466633
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ROBIN ELIZABETH SULLENS LMFT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/24/2006
-----------------------------------------------------
    Last Update Date     |    10/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9440 MEADOWKNOLL DR 
-----------------------------------------------------
    City                 |    DALLAS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75243-6174
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-907-4130
-----------------------------------------------------
    Fax                  |    214-857-1079
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9440 MEADOWKNOLL DR 
-----------------------------------------------------
    City                 |    DALLAS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75243-6174
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-907-4130
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    2573
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    101YP1600X
-----------------------------------------------------
    Taxonomy Name        |    Pastoral Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.