Provider Demographics
NPI:1881387710
Name:ROBINSON, ANTHONY (LPC-A)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10413 FORT TERAN TRL
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3887
Mailing Address - Country:US
Mailing Address - Phone:817-266-7568
Mailing Address - Fax:
Practice Address - Street 1:10413 FORT TERAN TRL
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-3887
Practice Address - Country:US
Practice Address - Phone:817-266-7568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health