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NPI Code Detail

MEDICARE: LIBERTY AYNN ROBBINS LPC

MEDICARE: LIBERTY AYNN ROBBINS LPC
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
1101YM0800XMental Health CounselorWY
2101YP2500XProfessional CounselorLPC-1257WY

General Provider Information

NPI Number : 1861074569
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIBERTY AYNN ROBBINS LPC
Provider Business Mailing Address
First Line : 1920 EVANS AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3716
Country : US
Telephone Number : 308-760-3913
Fax Number :
Provider Business Practice Location Address
First Line : 623 W 20TH ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3501
Country : US
Telephone Number : 307-264-4622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2021
Last Update Date : 05/28/2026

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Directions to “ LIBERTY AYNN ROBBINS LPC” Practice Location

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