Provider Demographics
NPI:1770008146
Name:CIKANEK, ROBIN GAYE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:GAYE
Last Name:CIKANEK
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 1:1636 NW 92ND ST
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-6282
Mailing Address - Country:US
Mailing Address - Phone:515-505-0639
Mailing Address - Fax:515-266-6808
Practice Address - Street 1:3451 EASTON BLVD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-3214
Practice Address - Country:US
Practice Address - Phone:515-262-0349
Practice Address - Fax:515-266-6808
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health