Provider Demographics
NPI:1457026312
Name:ROBBINS, DYANA R (MED, LPC)
Entity Type:Individual
Prefix:
First Name:DYANA
Middle Name:R
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 FOX RUN LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1758
Mailing Address - Country:US
Mailing Address - Phone:832-998-4679
Mailing Address - Fax:
Practice Address - Street 1:1414 S FRIENDSWOOD DR STE 430
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2249
Practice Address - Country:US
Practice Address - Phone:832-569-2450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86525101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional