Provider Demographics
NPI:1174850374
Name:ROBINSON, TRISHA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:TRISHA
Other - Middle Name:
Other - Last Name:BEHRENDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:MO
Mailing Address - Zip Code:65084-0021
Mailing Address - Country:US
Mailing Address - Phone:573-378-6833
Mailing Address - Fax:573-378-6823
Practice Address - Street 1:108 W JASPER ST
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:MO
Practice Address - Zip Code:65084-1020
Practice Address - Country:US
Practice Address - Phone:573-378-6833
Practice Address - Fax:573-378-6823
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009006967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional