Provider Demographics
NPI:1811689615
Name:ROBINSON, SIERRA BRONTIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:BRONTIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:SIERRA
Other - Middle Name:BRONTIE
Other - Last Name:TRUITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1907 ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-4705
Mailing Address - Country:US
Mailing Address - Phone:808-333-8088
Mailing Address - Fax:
Practice Address - Street 1:1123 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6340
Practice Address - Country:US
Practice Address - Phone:575-415-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2023-0418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health