Provider Demographics
NPI:1396069134
Name:ROBBINS, KYLER (LPC)
Entity type:Individual
Prefix:
First Name:KYLER
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-1933
Mailing Address - Country:US
Mailing Address - Phone:828-712-4806
Mailing Address - Fax:
Practice Address - Street 1:52 WALNUT ST
Practice Address - Street 2:SUITE 7
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-7401
Practice Address - Country:US
Practice Address - Phone:828-712-4806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7876101YM0800X, 101YP2500X
NC1698101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)