MEDICARE: DYANA ROBBINS PROFESSIONAL LIMITED LIABILITY COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1033990031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYANA ROBBINS PROFESSIONAL LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	1506 E WINDING WAY DR STE 521
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5398
Country	:	US
Telephone Number	:	832-998-4679
Fax Number	:

Provider Business Practice Location Address
First Line	:	1506 E WINDING WAY DR STE 521
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5398
Country	:	US
Telephone Number	:	832-998-4679
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LPC
Name	:	DYANA ROBBINS
Credential	:	LPC
Telephone Number	:	281-306-3223

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	10/06/2023

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