ROBERT DYLAN LARSEN MA
NPI 1861274706
Counselor - Professional in Weatherford, TX
Active since October 16, 2023
About Robert Dylan Larsen Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT DYLAN LARSEN MA (NPI 1861274706) is an individual professional provider in Weatherford, Texas, licensed in Texas (93048) and active in the NPI registry since October 2023.
NPPES Registry Identity
NPI1861274706
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameROBERT DYLAN LARSENCredential: MA
Location Address106 AUSTIN AVE STE 207Weatherford, TX 76086-3381
Mailing Address1517 Sidewinder TrlWeatherford, TX 76087-1311 · (181) 730-4557
Phone(817) 304-5572
Sole ProprietorYes
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1861274706 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 93048
106 AUSTIN AVE STE 207, Weatherford, TX 76086
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
106 AUSTIN AVE STE 207
WEATHERFORD, TX 76086
WEATHERFORD, TX 76086
Community/Behavioral Health
106 AUSTIN AVE STE 207
WEATHERFORD, TX 76086
WEATHERFORD, TX 76086
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861274706, enumerated as an "individual" on October 16, 2023.
The provider is located at 106 AUSTIN AVE STE 207 WEATHERFORD, TX 76086 and the phone number is (817) 304-5572.
Counselor with taxonomy code 101YP2500X and a focus in Professional.