Provider Demographics
NPI:1235520248
Name:ROBINSON-KYLES COUNSELING AND TESTING SERVICES, LLC
Entity Type:Organization
Organization Name:ROBINSON-KYLES COUNSELING AND TESTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON-KYLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:863-614-3232
Mailing Address - Street 1:505 MARTIN L KING JR AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-1527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 MARTIN L KING JR AVE STE 1
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33815-1527
Practice Address - Country:US
Practice Address - Phone:863-614-3232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8015251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health