Provider Demographics
NPI:1194365940
Name:ROBYN L. BURT COUNSELING LLC
Entity Type:Organization
Organization Name:ROBYN L. BURT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:856-818-3558
Mailing Address - Street 1:8 ALTAIR CT
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2406
Mailing Address - Country:US
Mailing Address - Phone:856-818-3558
Mailing Address - Fax:
Practice Address - Street 1:65 COOPER ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-4646
Practice Address - Country:US
Practice Address - Phone:856-818-3558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)