Woolley, Robin Lee

Woolley, Robin Lee is an sole proprietor health care provider with primary practice located at 615 E Lincoln St , Las Vegas NM 87701-4502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Woolley, Robin Lee can be contacted via phone (719) 680-9680.

Contact Information

Primary practice address
615 E Lincoln St Las Vegas NM 87701-4502
Phone: (719) 680-9680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0092671 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-2696 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-1129 Arizona

Profile Details

NPI number 1730337262
LBN Legal business name Woolley, Robin Lee
Credentials LISW, LADAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730337262 NPPES
New Mexico Other 104449 VALUE OPTIONS MEDICAID PROVIDER

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