Provider Demographics
NPI:1598017717
Name:HEATH, ROBI LEAH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ROBI
Middle Name:LEAH
Last Name:HEATH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9441 MIMOSA RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-2733
Mailing Address - Country:US
Mailing Address - Phone:972-658-1104
Mailing Address - Fax:
Practice Address - Street 1:9441 MIMOSA RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-2733
Practice Address - Country:US
Practice Address - Phone:972-658-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67614101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor