Provider Demographics
NPI:1083821425
Name:ROBSON, RICCI C (LMHC, CAP)
Entity Type:Individual
Prefix:MS
First Name:RICCI
Middle Name:C
Last Name:ROBSON
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 PARK LN APT 203
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3768
Mailing Address - Country:US
Mailing Address - Phone:954-665-9536
Mailing Address - Fax:
Practice Address - Street 1:700 N HIATUS RD
Practice Address - Street 2:#213
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5206
Practice Address - Country:US
Practice Address - Phone:954-431-0411
Practice Address - Fax:954-431-0413
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health