Healthcare Provider Details

I. General information

NPI: 1548767403
Provider Name (Legal Business Name): LEXXUS S ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9482 WEDGEWOOD BLVD STE 50
POWELL OH
43065-0268
US

IV. Provider business mailing address

9482 WEDGEWOOD BLVD STE 50
POWELL OH
43065-0268
US

V. Phone/Fax

Practice location:
  • Phone: 614-444-2273
  • Fax:
Mailing address:
  • Phone: 614-444-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1802821
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: