Provider Demographics
NPI:1649970542
Name:SMITH, ROBIN CAROLINE SCRANTON (LMHCA)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:CAROLINE SCRANTON
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 E HOWELL ST APT 102
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2709
Mailing Address - Country:US
Mailing Address - Phone:614-406-5326
Mailing Address - Fax:
Practice Address - Street 1:1616 E HOWELL ST APT 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2709
Practice Address - Country:US
Practice Address - Phone:614-406-5326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61146520101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health