Provider Demographics
NPI:1447517347
Name:CARR, ROBYN K (LCPC, LAC, LMFT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:K
Last Name:CARR
Suffix:
Gender:F
Credentials:LCPC, LAC, LMFT
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:K
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, LAC, LMFT
Mailing Address - Street 1:483 TALON WAY
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9816
Mailing Address - Country:US
Mailing Address - Phone:805-453-8281
Mailing Address - Fax:
Practice Address - Street 1:1174 STONERIDGE DR STE 304
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-9850
Practice Address - Country:US
Practice Address - Phone:406-414-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-LIC-1353101YA0400X
MTBBH-LMFT-LIC-4433106H00000X
MTBBH-LCPC-LIC-1572101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist