Provider Demographics
NPI:1356498273
Name:ROBINSON, ROBIN LEE (MA, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LEE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:MRS
Other - First Name:ROBIN
Other - Middle Name:LEE
Other - Last Name:KHOURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, LMFT
Mailing Address - Street 1:343 BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601
Mailing Address - Country:US
Mailing Address - Phone:337-439-7029
Mailing Address - Fax:337-433-8076
Practice Address - Street 1:343 BROAD STREET
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-439-7029
Practice Address - Fax:337-433-8076
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2382101YM0800X
LA76106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist