Healthcare Provider Details

I. General information

NPI: 1285199190
Provider Name (Legal Business Name): ROBINETTE H DOTSON LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 EAST BLVD STE E1392
CHARLOTTE NC
28203-5870
US

IV. Provider business mailing address

209 W WOODLAND AVE
YOUNGSTOWN OH
44502-1866
US

V. Phone/Fax

Practice location:
  • Phone: 330-286-0050
  • Fax:
Mailing address:
  • Phone: 330-787-9180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15852
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: