Provider Demographics
NPI:1124580147
Name:ROBBINS, MEIGHAN (LCPC, LAC, LPC-MH)
Entity Type:Individual
Prefix:
First Name:MEIGHAN
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LCPC, LAC, LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 HARVEST TRL
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:SD
Mailing Address - Zip Code:57032-2728
Mailing Address - Country:US
Mailing Address - Phone:605-695-7822
Mailing Address - Fax:406-389-8951
Practice Address - Street 1:419 HARVEST TRL
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:SD
Practice Address - Zip Code:57032-2728
Practice Address - Country:US
Practice Address - Phone:605-695-7822
Practice Address - Fax:406-389-8951
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH30818101YM0800X
MTLCPC-31063101YM0800X
MT31063101YP2500X
MT30163101YM0800X
MT38813101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1124580147Medicaid