Provider Demographics
NPI:1598514234
Name:ROBIN FINE, LCSW, PLLC
Entity type:Organization
Organization Name:ROBIN FINE, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, PLLC
Authorized Official - Phone:704-577-1179
Mailing Address - Street 1:12607 SW BLUE MANGROVE PKWY
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-6964
Mailing Address - Country:US
Mailing Address - Phone:704-577-1179
Mailing Address - Fax:
Practice Address - Street 1:12607 SW BLUE MANGROVE PKWY
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-6964
Practice Address - Country:US
Practice Address - Phone:704-577-1179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health