Provider Demographics
NPI:1699308494
Name:EVANS, ROBIN THERESA (LMFT)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:THERESA
Last Name:EVANS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 HIGHWAY 287 N # 1232
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4807
Mailing Address - Country:US
Mailing Address - Phone:682-266-9696
Mailing Address - Fax:682-206-3461
Practice Address - Street 1:3015 MEDLIN DR STE 300
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2360
Practice Address - Country:US
Practice Address - Phone:682-266-9696
Practice Address - Fax:682-206-3461
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203097106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist