Provider Demographics
NPI:1285687814
Name:LIVERS, ROBIN (LPCC; CADC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:LIVERS
Suffix:
Gender:F
Credentials:LPCC; CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1442 W STEVE WARINER DR
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642-5505
Mailing Address - Country:US
Mailing Address - Phone:270-866-4174
Mailing Address - Fax:270-819-4030
Practice Address - Street 1:1442 W STEVE WARINER DR
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-5505
Practice Address - Country:US
Practice Address - Phone:270-866-4174
Practice Address - Fax:270-819-4030
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY565101YA0400X
KY230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)