Provider Demographics
NPI:1053081026
Name:CARLE, ROBIN (LPC)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:
Last Name:CARLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42413 N LONG COVE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1252
Mailing Address - Country:US
Mailing Address - Phone:713-412-9251
Mailing Address - Fax:
Practice Address - Street 1:42413 N LONG COVE WAY
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-1252
Practice Address - Country:US
Practice Address - Phone:713-412-9251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional