Provider Demographics
NPI:1063985877
Name:KNIGHT, ROBIN M (MS, LPCA, NCC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MS, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 LIGHTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-4015
Mailing Address - Country:US
Mailing Address - Phone:203-641-9315
Mailing Address - Fax:
Practice Address - Street 1:471 LIGHTHOUSE RD
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-4015
Practice Address - Country:US
Practice Address - Phone:203-641-9315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CT005639101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor