Provider Demographics
NPI:1346520962
Name:ROBBINS, MARIA LUISA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LUISA
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MARY
Other - Middle Name:LOU
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:17 S CHADBOURNE ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-5862
Mailing Address - Country:US
Mailing Address - Phone:325-655-0620
Mailing Address - Fax:325-655-0620
Practice Address - Street 1:17 S CHADBOURNE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-5862
Practice Address - Country:US
Practice Address - Phone:325-655-0620
Practice Address - Fax:325-655-0620
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65862101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional