Provider Demographics
NPI:1528274404
Name:ROBINSON-WIGGINS, SHAKINA D (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:SHAKINA
Middle Name:D
Last Name:ROBINSON-WIGGINS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 HERON DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-8516
Mailing Address - Country:US
Mailing Address - Phone:414-507-2355
Mailing Address - Fax:
Practice Address - Street 1:6160 WARREN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9415
Practice Address - Country:US
Practice Address - Phone:940-977-0553
Practice Address - Fax:833-799-3099
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WI4762-125101YP2500X
IDLPC-7607101YP2500X
MI6401019488101YP2500X
TX83599101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor