Provider Demographics
NPI:1508004789
Name:ROBINSON, LOVER MAE (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LOVER
Middle Name:MAE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6334 S. MADISON PLACE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1387
Mailing Address - Country:US
Mailing Address - Phone:918-749-2723
Mailing Address - Fax:918-495-7154
Practice Address - Street 1:6334 S. MADISON PLACE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1387
Practice Address - Country:US
Practice Address - Phone:918-749-2723
Practice Address - Fax:918-495-7154
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2795101YM0800X
OK789106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist