Provider Demographics
NPI:1710454434
Name:LOOSIER, ROBERT E (RECOVERY COACH -SPRC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:LOOSIER
Suffix:
Gender:M
Credentials:RECOVERY COACH -SPRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 RAMBLING RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3154
Mailing Address - Country:US
Mailing Address - Phone:972-375-8149
Mailing Address - Fax:
Practice Address - Street 1:2021 E PARK BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5127
Practice Address - Country:US
Practice Address - Phone:972-375-8149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral