Provider Demographics
NPI:1457529315
Name:ROBINSON, DIANNE WARREN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:WARREN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W. JEFFERSON BLVD., SUITE 203
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208
Mailing Address - Country:US
Mailing Address - Phone:214-942-5545
Mailing Address - Fax:214-942-5540
Practice Address - Street 1:1005 W JEFFERSON BLVD STE 203
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-5091
Practice Address - Country:US
Practice Address - Phone:214-942-5545
Practice Address - Fax:214-942-5540
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20007101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health