Provider Demographics
NPI:1558468678
Name:PIMLOTT, ROBERT LEE (LMFT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:PIMLOTT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-4708
Mailing Address - Country:US
Mailing Address - Phone:812-265-4151
Mailing Address - Fax:812-265-5028
Practice Address - Street 1:606 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-4708
Practice Address - Country:US
Practice Address - Phone:812-265-4151
Practice Address - Fax:812-265-5028
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35000998A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist