Provider Demographics
NPI:1770934861
Name:ROBERSON, NAKIA L (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:NAKIA
Middle Name:L
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16615 ABERDEEN GREEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-7205
Mailing Address - Country:US
Mailing Address - Phone:832-483-9953
Mailing Address - Fax:
Practice Address - Street 1:16151 CAIRNWAY DR
Practice Address - Street 2:SUITE #206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3550
Practice Address - Country:US
Practice Address - Phone:281-656-2548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional