Provider Demographics
NPI:1841689627
Name:ROBBINS, MICHAEL (LIMHP)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8031 W CENTER RD
Mailing Address - Street 2:SUITE 324
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3158
Mailing Address - Country:US
Mailing Address - Phone:402-819-8122
Mailing Address - Fax:402-502-5102
Practice Address - Street 1:8031 W CENTER RD
Practice Address - Street 2:SUITE 324
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3158
Practice Address - Country:US
Practice Address - Phone:402-819-8122
Practice Address - Fax:402-502-5102
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4538101YM0800X
NE1535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health