Provider Demographics
NPI:1902306343
Name:ROBYN NELSON COUNSELING, PLLC
Entity Type:Organization
Organization Name:ROBYN NELSON COUNSELING, PLLC
Other - Org Name:4 RIVERS COUNSELING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ THERAPISTS
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, EDS
Authorized Official - Phone:479-319-6579
Mailing Address - Street 1:4072 CAERLEON CIR
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7651
Mailing Address - Country:US
Mailing Address - Phone:479-903-3500
Mailing Address - Fax:479-319-6570
Practice Address - Street 1:1003 SE 14TH ST STE 4
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6897
Practice Address - Country:US
Practice Address - Phone:479-319-6579
Practice Address - Fax:479-319-6570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty