1366096604 NPI number — MISS KENDRA CAHILL ROBISON LPC

Table of content: KAITLIN PALANCE LMSW (NPI 1164105391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366096604 NPI number — MISS KENDRA CAHILL ROBISON LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBISON
Provider First Name:
KENDRA
Provider Middle Name:
CAHILL
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366096604
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5160 GOLDMAR DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRONDALE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35210-2808
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-597-8297
Provider Business Mailing Address Fax Number:
205-972-8166

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 BEACON PKWY W STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-3123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-870-3520
Provider Business Practice Location Address Fax Number:
205-870-3522
Provider Enumeration Date:
07/25/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  4111 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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