MEDICARE: CAROL ANN ROBINSON LCMHC

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	068-000692	VT
2	101YM0800X	Mental Health Counselor	MH10352	FL

General Provider Information

NPI Number	:	1922124825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL ANN ROBINSON LCMHC

Provider Business Mailing Address
First Line	:	12590 WHITEHALL DR
Second Line	:	SUITE 3
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4680
Country	:	US
Telephone Number	:	239-939-9090
Fax Number	:

Provider Business Practice Location Address
First Line	:	12590 WHITEHALL DR
Second Line	:	SUITE 3
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4680
Country	:	US
Telephone Number	:	239-939-9090
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	01/18/2015

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