Provider Demographics
NPI:1003547662
Name:MCDANIEL, ROBYN ELIZABETH (LPC/MHSP (TEMP), NCC)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:ELIZABETH
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:LPC/MHSP (TEMP), NCC
Other - Prefix:MISS
Other - First Name:ROBYN
Other - Middle Name:ELIZABETH
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:384 CARRIAGE HOUSE DR STE C
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2268
Mailing Address - Country:US
Mailing Address - Phone:731-868-7297
Mailing Address - Fax:
Practice Address - Street 1:384 CARRIAGE HOUSE DR STE C
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2268
Practice Address - Country:US
Practice Address - Phone:731-868-7297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5927101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health