Provider Demographics
NPI:1275953291
Name:ROBIN FOSTER LMHC LLC
Entity Type:Organization
Organization Name:ROBIN FOSTER LMHC LLC
Other - Org Name:SOLUTIONS COUNSELING CENTER OF TAMPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-442-7505
Mailing Address - Street 1:4826 CHEVAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5337
Mailing Address - Country:US
Mailing Address - Phone:813-442-7505
Mailing Address - Fax:813-769-9834
Practice Address - Street 1:3550 W WATERS AVE STE 264
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2773
Practice Address - Country:US
Practice Address - Phone:813-525-5057
Practice Address - Fax:813-227-9848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11405101YM0800X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ04K4OtherFL BLUE
FLZ04K4OtherFL BLUE
FL009940200Medicaid