Provider Demographics
NPI:1861989659
Name:ROBIN G. SONTHEIMER, PLLC
Entity type:Organization
Organization Name:ROBIN G. SONTHEIMER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LCSW/PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:GARDNER
Authorized Official - Last Name:SONTHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:585-484-1954
Mailing Address - Street 1:5900 BALCONES DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4298
Mailing Address - Country:US
Mailing Address - Phone:585-484-1954
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4298
Practice Address - Country:US
Practice Address - Phone:585-484-1954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2023-10-26
Deactivation Date:2022-12-28
Deactivation Code:
Reactivation Date:2023-10-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty