Provider Demographics
NPI:1578914776
Name:ROBISON, STEFANIE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:
Last Name:ROBISON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNION SQ W
Mailing Address - Street 2:SUITE 1328
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3236
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 UNION SQ W
Practice Address - Street 2:SUITE 1328
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3236
Practice Address - Country:US
Practice Address - Phone:646-470-4535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health