Provider Demographics
NPI:1346045804
Name:ROUBIK, MARIA (LAC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ROUBIK
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DULZURA WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-2500
Mailing Address - Country:US
Mailing Address - Phone:847-975-2848
Mailing Address - Fax:
Practice Address - Street 1:316 W SAINT LOUIS ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS NATIONAL PARK
Practice Address - State:AR
Practice Address - Zip Code:71913-4406
Practice Address - Country:US
Practice Address - Phone:501-321-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2305014101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health