Provider Demographics
NPI:1750394573
Name:WELCH, ROBIN L (DMIN LIMHP LPC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:L
Last Name:WELCH
Suffix:
Gender:M
Credentials:DMIN LIMHP LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7121 A ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4289
Mailing Address - Country:US
Mailing Address - Phone:402-805-4400
Mailing Address - Fax:402-805-4403
Practice Address - Street 1:7121 A ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4289
Practice Address - Country:US
Practice Address - Phone:402-805-4400
Practice Address - Fax:402-805-4403
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE829101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025008700Medicaid
NE84856OtherBLUE CROSS
350078000OtherMAGELLAN