Provider Demographics
NPI:1629407200
Name:ROBINSON, HEIDI (MPA, MHRM)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MPA, MHRM
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:DOBY-ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPA, MHRM
Mailing Address - Street 1:99 HOPEWELL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 HOPEWELL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4445
Practice Address - Country:US
Practice Address - Phone:407-435-6603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor