Provider Demographics
NPI:1790201424
Name:ROBINSON, RANA RENEE (LPC)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:RENEE
Last Name:ROBINSON
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 1:2705 E 88TH ST APT 556
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1182
Mailing Address - Country:US
Mailing Address - Phone:918-829-0915
Mailing Address - Fax:
Practice Address - Street 1:2705 E 88TH ST APT 556
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-1182
Practice Address - Country:US
Practice Address - Phone:918-829-0915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK$$$$$$$$$Medicaid
KS$$$$$$$$$Medicaid