Provider Demographics
NPI:1144008871
Name:HERRINGTON, ROBIN M (LPCA)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-2403
Mailing Address - Country:US
Mailing Address - Phone:502-851-3058
Mailing Address - Fax:
Practice Address - Street 1:921 CHARLES ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-2403
Practice Address - Country:US
Practice Address - Phone:502-851-3058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
274858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health