Provider Demographics
NPI:1558522870
Name:POWELL, ROBIN LESLIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LESLIE
Last Name:POWELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1901 N CENTRAL EXPY
Mailing Address - Street 2:STE 220
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3774
Mailing Address - Country:US
Mailing Address - Phone:972-680-8986
Mailing Address - Fax:972-680-9216
Practice Address - Street 1:5156 VILLAGE CREEK DR
Practice Address - Street 2:SUITE 102
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4495
Practice Address - Country:US
Practice Address - Phone:469-426-4480
Practice Address - Fax:972-735-7902
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX220311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical