Provider Demographics
NPI:1841201233
Name:HENLEY, ROBERT ALLEN (LPC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALLEN
Last Name:HENLEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 COUNTY ROAD 123A
Mailing Address - Street 2:P.O. BOX 714
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-7858
Mailing Address - Country:US
Mailing Address - Phone:830-798-8589
Mailing Address - Fax:830-798-1639
Practice Address - Street 1:706 1ST ST
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5752
Practice Address - Country:US
Practice Address - Phone:830-798-8589
Practice Address - Fax:830-798-1639
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9979101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional