Provider Demographics
NPI:1346563731
Name:CASEY, MICHAEL ROBIN (LPC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ROBIN
Last Name:CASEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 73RD ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2044
Mailing Address - Country:US
Mailing Address - Phone:806-252-3421
Mailing Address - Fax:806-698-9244
Practice Address - Street 1:5301 73RD ST
Practice Address - Street 2:UNIT B
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2044
Practice Address - Country:US
Practice Address - Phone:806-252-3421
Practice Address - Fax:806-698-9244
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX63972101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional