Provider Demographics
NPI:1205154150
Name:STALLINGS, ROBIN L (MA, LPC-C)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:STALLINGS
Suffix:
Gender:F
Credentials:MA, LPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WESTSIDE PKWY
Mailing Address - Street 2:APT. 2A
Mailing Address - City:ATOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74525-3404
Mailing Address - Country:US
Mailing Address - Phone:580-380-3993
Mailing Address - Fax:
Practice Address - Street 1:1001 WESTSIDE PKWY
Practice Address - Street 2:APT. 2A
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-3404
Practice Address - Country:US
Practice Address - Phone:580-380-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-16
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health