Provider Demographics
NPI:1376839886
Name:HARRISON-TAFT, ROBYN M (LPC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:M
Last Name:HARRISON-TAFT
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:PO BOX 4056
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25402-4056
Mailing Address - Country:US
Mailing Address - Phone:304-264-1442
Mailing Address - Fax:304-264-4317
Practice Address - Street 1:51 STREET OF DREAMS
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25403-1134
Practice Address - Country:US
Practice Address - Phone:304-264-1442
Practice Address - Fax:304-264-4317
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health