Provider Demographics
NPI:1982004107
Name:ROBIN T KEMPNER
Entity Type:Organization
Organization Name:ROBIN T KEMPNER
Other - Org Name:ROAD TO MINDFULNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:KEMPNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-287-4292
Mailing Address - Street 1:11441 NW 35TH PL
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1423
Mailing Address - Country:US
Mailing Address - Phone:860-287-4292
Mailing Address - Fax:
Practice Address - Street 1:11441 NW 35TH PL
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-1423
Practice Address - Country:US
Practice Address - Phone:860-287-4292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW64251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty