Provider Demographics
NPI:1053620682
Name:ROBINSON-LAWRENCE, REBECCA (LMHC, CRC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:ROBINSON-LAWRENCE
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:838 PARK PL APT 2E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-6518
Mailing Address - Country:US
Mailing Address - Phone:917-670-9751
Mailing Address - Fax:
Practice Address - Street 1:838 PARK PL APT 2E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-6518
Practice Address - Country:US
Practice Address - Phone:917-670-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000379-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health