Provider Demographics
NPI:1457450256
Name:REHBEIN, ROBYN R (LPCC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:R
Last Name:REHBEIN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4676 POWDER RIVER DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-5118
Mailing Address - Country:US
Mailing Address - Phone:575-496-8532
Mailing Address - Fax:
Practice Address - Street 1:333 S CAMPO ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3511
Practice Address - Country:US
Practice Address - Phone:575-496-8532
Practice Address - Fax:855-420-5950
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0088381101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134440779OtherNPI
NM0088381OtherLICENSE
NM93130741Medicaid