Provider Demographics
NPI:1073600862
Name:ADAMSON-WANNER, ROBIN (LMHC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:ADAMSON-WANNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 SE 19TH STREET
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5325
Mailing Address - Country:US
Mailing Address - Phone:352-873-4447
Mailing Address - Fax:352-873-4853
Practice Address - Street 1:108 N MAGNOLIA AVE
Practice Address - Street 2:SUITE 500B
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-6604
Practice Address - Country:US
Practice Address - Phone:352-873-4447
Practice Address - Fax:352-873-4853
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4231101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH 4231OtherSTATE LICENSE
FL27798OtherFLORIDA BLUE