Healthcare Provider Details

I. General information

NPI: 1851752182
Provider Name (Legal Business Name): URSULA ROBINSON LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 NORTHLAND BLVD STE 107B
CINCINNATI OH
45246-3610
US

IV. Provider business mailing address

260 NORTHLAND BLVD STE 107B
CINCINNATI OH
45246-3610
US

V. Phone/Fax

Practice location:
  • Phone: 513-294-8330
  • Fax: 513-672-0941
Mailing address:
  • Phone: 513-294-8330
  • Fax: 513-672-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1000330
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: