Provider Demographics
NPI:1750816807
Name:ROBBINS, ALISABETH (LPC)
Entity Type:Individual
Prefix:
First Name:ALISABETH
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 GRISTMILL CT
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7219
Mailing Address - Country:US
Mailing Address - Phone:614-209-1907
Mailing Address - Fax:
Practice Address - Street 1:24 FRONT ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-8357
Practice Address - Country:US
Practice Address - Phone:614-209-1907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1700148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health