Provider Demographics
NPI:1174694285
Name:MCGUIGAN, ROBERT LEON (LMHC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEON
Last Name:MCGUIGAN
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 1:11325 OLD DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-4645
Mailing Address - Country:US
Mailing Address - Phone:772-388-1188
Mailing Address - Fax:772-388-1188
Practice Address - Street 1:11325 OLD DIXIE HWY
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-4645
Practice Address - Country:US
Practice Address - Phone:772-388-1188
Practice Address - Fax:772-388-1188
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health