Provider Demographics
NPI:1265614127
Name:ROBBINS, EUGENIA E, (LPC)
Entity type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:E,
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:RUTH
Other - Middle Name:EUGENIA
Other - Last Name:CLEARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:602 RANCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-2111
Mailing Address - Country:US
Mailing Address - Phone:601-270-9719
Mailing Address - Fax:601-261-3077
Practice Address - Street 1:602 RANCHWOOD DR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-2111
Practice Address - Country:US
Practice Address - Phone:601-270-9719
Practice Address - Fax:601-261-3077
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional