Healthcare Provider Details

I. General information

NPI: 1578730263
Provider Name (Legal Business Name): ROBINSON REHABILITATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E ARROWHEAD DR STE 1-02
CHARLOTTE NC
28213-6427
US

IV. Provider business mailing address

210 E ARROWHEAD DR STE 1-2
CHARLOTTE NC
28213-6427
US

V. Phone/Fax

Practice location:
  • Phone: 704-494-3802
  • Fax: 704-494-3803
Mailing address:
  • Phone: 704-494-3802
  • Fax: 704-494-3803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6006861
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: MS. JANET TORRES
Title or Position: CEO/OWNER
Credential:
Phone: 704-972-8272