Provider Demographics
NPI:1477629608
Name:MEIXNER, ROBERT 'HARMON' (LPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:'HARMON'
Last Name:MEIXNER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54136
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79453-4136
Mailing Address - Country:US
Mailing Address - Phone:806-771-1386
Mailing Address - Fax:806-771-1388
Practice Address - Street 1:4412 74TH ST
Practice Address - Street 2:E102
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2328
Practice Address - Country:US
Practice Address - Phone:806-793-9991
Practice Address - Fax:806-792-7675
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16093101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4015LCOtherBCBS