Provider Demographics
NPI:1558666438
Name:HESSE, ROBIN LINGO (LCDC, ADC,ICADC)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LINGO
Last Name:HESSE
Suffix:
Gender:F
Credentials:LCDC, ADC,ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 NORTH LOOP W
Mailing Address - Street 2:SUITE 335
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8127
Mailing Address - Country:US
Mailing Address - Phone:832-405-1667
Mailing Address - Fax:713-681-3800
Practice Address - Street 1:2040 NORTH LOOP W
Practice Address - Street 2:SUITE 335
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8127
Practice Address - Country:US
Practice Address - Phone:832-405-1667
Practice Address - Fax:713-681-3800
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8108101YA0400X
TX15115R1008101YA0400X
TX703972101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)