Basic Information
| Provider Information | |||||||||
| NPI: | 1265044911 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBBINS | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | MS, LPC-I, LCDC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 137 WILLOW WAY | ||||||||
| Address2: | |||||||||
| City: | KERRVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 780287088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8302570568 | ||||||||
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| Practice Location | |||||||||
| Address1: | 230 MESA VERDE DR E | ||||||||
| Address2: | |||||||||
| City: | CENTER POINT | ||||||||
| State: | TX | ||||||||
| PostalCode: | 780103548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306342212 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2020 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 8609 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.