Doctor Name: | MS. ROBIN DIANE MOELLER |
NPI Number: | 1417154766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3201 |
Business Practice Address: | 112 W. Main Street New Roads, LA - 70760 |
Business Phone Number: | 2256188888 |
Business Fax Number: | |
Mailing Address: | 10471 Belleview Dr, NEW ROADS |
State: | LA |
Postal Code: | 707604116 |
Phone Number: | 2256188888 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |