Provider Demographics
NPI:1497891212
Name:SCHULTZ, ROBIN R (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:R
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CARL VINSON PKWY
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-5817
Mailing Address - Country:US
Mailing Address - Phone:478-922-2365
Mailing Address - Fax:
Practice Address - Street 1:121 CARL VINSON PKWY
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-5817
Practice Address - Country:US
Practice Address - Phone:478-922-2365
Practice Address - Fax:478-922-1778
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005259101YP2500X
FLMH8520101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health