Provider Demographics
NPI:1346397544
Name:MAPES, ROBERT L (LPC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:MAPES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CLEAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-4067
Mailing Address - Country:US
Mailing Address - Phone:972-617-6187
Mailing Address - Fax:
Practice Address - Street 1:1014 FERRIS AVE STE 107
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2590
Practice Address - Country:US
Practice Address - Phone:972-937-8255
Practice Address - Fax:973-937-8504
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional