Provider Demographics
NPI:1396987533
Name:GROAT, ROBIN LYNN (LPC, CAAC)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LYNN
Last Name:GROAT
Suffix:
Gender:F
Credentials:LPC, CAAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9249 B DR N
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-7518
Mailing Address - Country:US
Mailing Address - Phone:269-419-2605
Mailing Address - Fax:
Practice Address - Street 1:9249 B DR N
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-7518
Practice Address - Country:US
Practice Address - Phone:269-419-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC01081101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)