Robinson, Maude Ann
Robinson, Maude Ann is an individual health care provider with primary practice located at 330 Kay Larkin Drive , Palatka FL 32177. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Robinson, Maude Ann can be contacted via phone (386) 329-3780.Contact Information
Primary practice address
330 Kay Larkin Drive
Palatka FL 32177
Phone: (386) 329-3780
Fax: (386) 329-3786
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH4184 | Florida |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1861553869 |
---|---|
LBN Legal business name | Robinson, Maude Ann |
Credentials | LMHC CAP NCC MAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Jun 17th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861553869 | NPPES |
Florida | Other | Z7914 | BC/BS |
Florida | MEDICAID | 762255400 | BC/BS |
Florida | MEDICAID | 765585100 | BC/BS |
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