Provider Demographics
NPI:1649395641
Name:ROBINSON, GENA BETH (M ED LPC)
Entity Type:Individual
Prefix:
First Name:GENA
Middle Name:BETH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:M ED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:NEW DEAL
Mailing Address - State:TX
Mailing Address - Zip Code:79350-0100
Mailing Address - Country:US
Mailing Address - Phone:806-789-8440
Mailing Address - Fax:
Practice Address - Street 1:8401 GENEVA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-3020
Practice Address - Country:US
Practice Address - Phone:806-789-8440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional