Provider Demographics
NPI:1467968263
Name:ROBICHAUX, MICHELLE (MED, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:
Last Name:ROBICHAUX
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4747 RESEARCH FOREST DR # 180583
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4912
Mailing Address - Country:US
Mailing Address - Phone:832-304-9382
Mailing Address - Fax:
Practice Address - Street 1:4747 RESEARCH FOREST DR # 180583
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4912
Practice Address - Country:US
Practice Address - Phone:832-304-9382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-17
Last Update Date:2021-03-06
Deactivation Date:2017-12-20
Deactivation Code:
Reactivation Date:2020-07-30
Provider Licenses
StateLicense IDTaxonomies
TX80901101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional