Provider Demographics
NPI:1881567741
Name:CONCEPCION, ROBERT (LMHC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:CONCEPCION
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 SW 141ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3045
Mailing Address - Country:US
Mailing Address - Phone:954-770-2718
Mailing Address - Fax:
Practice Address - Street 1:4700 SW 141ST AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3045
Practice Address - Country:US
Practice Address - Phone:954-770-2718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor