Healthcare Provider Details

I. General information

NPI: 1467335943
Provider Name (Legal Business Name): ROBIN RUBAIN LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16900 SCIENCE DR STE 208-210
BOWIE MD
20715-4401
US

IV. Provider business mailing address

2501N GLEBE ST. STE 303
ARLINGTON VA
22207
US

V. Phone/Fax

Practice location:
  • Phone: 240-617-1399
  • Fax:
Mailing address:
  • Phone: 703-841-1290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP15584
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: