Provider Demographics
NPI:1689743841
Name:NEELY, ROBIN LYNN (LCSW LMFT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LYNN
Last Name:NEELY
Suffix:
Gender:F
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7526 FITCHBURG AVE
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2126
Mailing Address - Country:US
Mailing Address - Phone:214-532-0470
Mailing Address - Fax:
Practice Address - Street 1:6404 INTERNATIONAL PKWY
Practice Address - Street 2:SUITE 2100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8225
Practice Address - Country:US
Practice Address - Phone:972-209-8992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX292441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical