MR. LAVELL TERAN ROBINSON MASTERS OF SCIENCE NPI 1497086565

NPI Information

NPI: 1497086565
Provider Name: MR. LAVELL TERAN ROBINSON, MASTERS OF SCIENCE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3467 W SHAW AVE STE 101
FRESNO, CA
ZIP 93711
Phone: (559) 271-3096
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MR. Lavell Teran Robinson, MASTERS OF SCIENCE is a mental health counselor in Fresno, CA. MR. Lavell Teran Robinson, MASTERS OF SCIENCE NPI is 1497086565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3467 W SHAW AVE STE 101
FRESNO, CA
ZIP 93711-223
Phone: (559) 271-3096
Fax: (559) 274-0292

The enumeration date for this NPI number is 1/28/2010 and was last updated on 1/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YP1600X	Counselor	Pastoral	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CALIFORNIA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	WISCONSIN	No
4	101YM0800X	Counselor	Mental Health	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1497086565	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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