Provider Demographics
NPI:1588770010
Name:PIPER, ROBERT L (LMHC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:PIPER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 BAHIA VISTA ST
Mailing Address - Street 2:CHARIS CENTER, INC.
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2421
Mailing Address - Country:US
Mailing Address - Phone:941-378-1549
Mailing Address - Fax:941-342-1781
Practice Address - Street 1:4041 BAHIA VISTA ST
Practice Address - Street 2:CHARIS CENTER, INC.
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2421
Practice Address - Country:US
Practice Address - Phone:941-378-1549
Practice Address - Fax:941-342-1781
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health