Provider Demographics
NPI:1710683628
Name:URIVE, ROBYN KRYSTAL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:KRYSTAL
Last Name:URIVE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:115 PRIVATE ROAD 605
Mailing Address - Street 2:
Mailing Address - City:MARLIN
Mailing Address - State:TX
Mailing Address - Zip Code:76661-6598
Mailing Address - Country:US
Mailing Address - Phone:254-275-9779
Mailing Address - Fax:
Practice Address - Street 1:115 PRIVATE ROAD 605
Practice Address - Street 2:
Practice Address - City:MARLIN
Practice Address - State:TX
Practice Address - Zip Code:76661-6598
Practice Address - Country:US
Practice Address - Phone:254-275-9779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX859222255A2300X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer