Provider Demographics
NPI:1962712687
Name:ROBIN, ALICE COMEAUX (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:COMEAUX
Last Name:ROBIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:MARIE
Other - Last Name:COMEAUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:AAHSD- TYLER BHC
Mailing Address - Street 2:302 DULLES DRIVE
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506
Mailing Address - Country:US
Mailing Address - Phone:337-262-4137
Mailing Address - Fax:337-262-4178
Practice Address - Street 1:AAHSD- TYLER BHC
Practice Address - Street 2:302 DULLES DRIVE
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506
Practice Address - Country:US
Practice Address - Phone:337-262-4137
Practice Address - Fax:337-262-4178
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA113871041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker