Provider Demographics
NPI:1679754089
Name:HEFLIN-WOODS, ROBIN RAE (LMFT LMHC)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:RAE
Last Name:HEFLIN-WOODS
Suffix:
Gender:F
Credentials:LMFT LMHC
Other - Prefix:MRS
Other - First Name:ROBIN
Other - Middle Name:RAE
Other - Last Name:VENDELIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT LMHC
Mailing Address - Street 1:22142 SE 237TH ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-8534
Mailing Address - Country:US
Mailing Address - Phone:206-529-5046
Mailing Address - Fax:
Practice Address - Street 1:22142 SE 237TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-8534
Practice Address - Country:US
Practice Address - Phone:206-529-5046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009510101YM0800X
WALF00002163106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist