Healthcare Provider Details

I. General information

NPI: 1568380210
Provider Name (Legal Business Name): RACHEL ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10801 JOHNSTON RD STE 103
CHARLOTTE NC
28226-4463
US

IV. Provider business mailing address

318 KEELS AVE
ROCK HILL SC
29730-6241
US

V. Phone/Fax

Practice location:
  • Phone: 704-830-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: