MEDICARE: CHLOE ROBY LPC-C

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	12288	OK

General Provider Information

NPI Number	:	1164251047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE ROBY LPC-C

Provider Business Mailing Address
First Line	:	416 S MUSTANG RD STE B
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-7314
Country	:	US
Telephone Number	:	405-445-4489
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 S MUSTANG RD STE B
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-7314
Country	:	US
Telephone Number	:	405-445-4489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	12/10/2025

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Directions to “ CHLOE ROBY LPC-C” Practice Location

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