MEDICARE: BARBARA A. ROBA, LICENSED MENTAL HEALTH COUNSELOR PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1063081198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA A. ROBA, LICENSED MENTAL HEALTH COUNSELOR PLLC

Provider Business Mailing Address
First Line	:	6465 TRANSIT RD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2232
Country	:	US
Telephone Number	:	716-209-3099
Fax Number	:	716-745-0005

Provider Business Practice Location Address
First Line	:	6465 TRANSIT RD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2232
Country	:	US
Telephone Number	:	716-209-3099
Fax Number	:	716-745-0005

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BARBARA A ROBA
Credential	:	LMHC
Telephone Number	:	716-209-3099

Provider Enumeration Date	:	06/22/2021
Last Update Date	:	06/22/2021

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