Basic Information
| Provider Information | |||||||||
| NPI: | 1780308189 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROBBINS | ||||||||
| FirstName: | ALLIE | ||||||||
| MiddleName: | DELANEY | ||||||||
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| Credential: | LPC-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1174 SW 240TH RD | ||||||||
| Address2: | |||||||||
| City: | TUSKAHOMA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 745741384 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185673065 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1 CHOCTAW WAY | ||||||||
| Address2: | |||||||||
| City: | TALIHINA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 745712022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185673065 | ||||||||
| FaxNumber: | 9185673917 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2022 | ||||||||
| LastUpdateDate: | 09/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 11002 | OK | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.