Healthcare Provider Details

I. General information

NPI: 1255693487
Provider Name (Legal Business Name): COURTNEY PAIGE ROBINSON M.A., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 WARRINGTON ST
JACKSONVILLE FL
32254-3937
US

IV. Provider business mailing address

3020 WARRINGTON ST
JACKSONVILLE FL
32254-3937
US

V. Phone/Fax

Practice location:
  • Phone: 904-899-6300
  • Fax:
Mailing address:
  • Phone: 904-899-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMH12542
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberIMH9394
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: