Provider Demographics
NPI:1790407583
Name:ROBINSON, CAITLYN (LMHC)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:ROBINSON
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 1:7609 GEORGIA PEACH DR APT 10208
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-7810
Mailing Address - Country:US
Mailing Address - Phone:407-687-7954
Mailing Address - Fax:
Practice Address - Street 1:1600 TOWN PLAZA CT STE 1624
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6210
Practice Address - Country:US
Practice Address - Phone:407-687-7954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health