Provider Demographics
NPI:1295196889
Name:ROBLES, EVELIZ IVETTE (MS, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:EVELIZ
Middle Name:IVETTE
Last Name:ROBLES
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 745
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-0745
Mailing Address - Country:US
Mailing Address - Phone:609-742-5624
Mailing Address - Fax:609-552-0077
Practice Address - Street 1:1402 DOUGHTY RD STE 201
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5640
Practice Address - Country:US
Practice Address - Phone:609-277-5437
Practice Address - Fax:609-552-0077
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00702300101YM0800X
NJ37AC00301200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health