Provider Demographics
NPI:1760868616
Name:STOVER, ROBIN (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:
Last Name:STOVER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 OLD OKEECHOBEE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-5229
Mailing Address - Country:US
Mailing Address - Phone:561-283-1118
Mailing Address - Fax:561-283-0886
Practice Address - Street 1:1700 OLD OKEECHOBEE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5229
Practice Address - Country:US
Practice Address - Phone:561-283-1118
Practice Address - Fax:561-283-0886
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11259101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health