Provider Demographics
NPI:1295854966
Name:ROBINSON, CHRISTY SUE (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:SUE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 HIGHWAY 377 S STE 10
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-3905
Mailing Address - Country:US
Mailing Address - Phone:325-641-8200
Mailing Address - Fax:325-641-8284
Practice Address - Street 1:2222 HIGHWAY 377 S STE 10
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3905
Practice Address - Country:US
Practice Address - Phone:325-641-8200
Practice Address - Fax:325-641-8284
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6040LCOtherBLUE CROSS BLUE SHIELD