Provider Demographics
NPI:1912638461
Name:RIFE, ROBIN L (MA,MFTI)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:RIFE
Suffix:
Gender:F
Credentials:MA,MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10789 DOUBLE R BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-9010
Mailing Address - Country:US
Mailing Address - Phone:775-453-0765
Mailing Address - Fax:
Practice Address - Street 1:10789 DOUBLE R BLVD STE 102
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-9010
Practice Address - Country:US
Practice Address - Phone:775-453-0765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health