1356848816 NPI number — ROBINSON HOUSE BEHAVIORAL HEALTH SERVICES

Table of content: MRS. CHRISTINE ELIZABETH BUCKINGHAM LCPC (NPI 1598778474)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356848816 NPI number — ROBINSON HOUSE BEHAVIORAL HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBINSON HOUSE BEHAVIORAL HEALTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1356848816
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
900 GORDON HTS
Provider Second Line Business Mailing Address:
244
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-670-0573
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
900 GORDON HTS
Provider Second Line Business Practice Location Address:
244
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-670-0573
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2018

Additional Information

Authorized Official

Authorized Official Last Name:
ROBINSON
Authorized Official First Name:
CLEVELAND
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
404-670-0573

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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