Provider Demographics
NPI:1609310226
Name:ROBIN R. MINICK
Entity Type:Organization
Organization Name:ROBIN R. MINICK
Other - Org Name:RR MINICK COUNSELING, PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MINICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CCMC, GC-C
Authorized Official - Phone:828-246-9751
Mailing Address - Street 1:PO BOX 596
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-0596
Mailing Address - Country:US
Mailing Address - Phone:828-246-9751
Mailing Address - Fax:182-864-9716
Practice Address - Street 1:66 WALNUT ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3283
Practice Address - Country:US
Practice Address - Phone:828-246-9751
Practice Address - Fax:182-864-9716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1144594920OtherINDIVIDUAL NPI NUMBER