Provider Demographics
NPI:1194907535
Name:REDMON, ROBBIE S (LPC)
Entity type:Individual
Prefix:MRS
First Name:ROBBIE
Middle Name:S
Last Name:REDMON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10300 N CENTRAL EXPY
Mailing Address - Street 2:MEADOW PARK, SUITE 293
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-8600
Mailing Address - Country:US
Mailing Address - Phone:214-207-0892
Mailing Address - Fax:214-943-4790
Practice Address - Street 1:10300 N CENTRAL EXPY
Practice Address - Street 2:MEADOW PARK, SUITE 293
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8600
Practice Address - Country:US
Practice Address - Phone:214-207-0892
Practice Address - Fax:214-943-4790
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional