Provider Demographics
NPI:1043865371
Name:HUDSON, ROBIN LORAE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LORAE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WHITNEY WAY
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-4256
Mailing Address - Country:US
Mailing Address - Phone:831-601-3061
Mailing Address - Fax:
Practice Address - Street 1:101 WHITNEY WAY
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-4256
Practice Address - Country:US
Practice Address - Phone:831-601-3061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional