Provider Demographics
NPI:1568955961
Name:ROBLES, HOLLY LEIGH (LPC-S, LCDC)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:LEIGH
Last Name:ROBLES
Suffix:
Gender:F
Credentials:LPC-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 WATERSTONE PKWY
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3880
Mailing Address - Country:US
Mailing Address - Phone:830-388-8301
Mailing Address - Fax:
Practice Address - Street 1:1147 WATERSTONE PKWY
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3880
Practice Address - Country:US
Practice Address - Phone:830-388-8301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11083101YA0400X
TX120620101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)