Provider Demographics
NPI:1467808386
Name:AUSTIN-ROBILLARD, HEATHER (LMFT-A)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:AUSTIN-ROBILLARD
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8212 ITHACA AVE
Mailing Address - Street 2:SUITE E-12
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2632
Mailing Address - Country:US
Mailing Address - Phone:214-277-4242
Mailing Address - Fax:
Practice Address - Street 1:8212 ITHACA AVE
Practice Address - Street 2:SUITE E-12
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2632
Practice Address - Country:US
Practice Address - Phone:214-277-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201915106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist