Healthcare Provider Details

I. General information

NPI: 1396650875
Provider Name (Legal Business Name): DR. ROBINSON THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 COLUMBIA MALL BLVD STE 201
COLUMBIA SC
29223-7552
US

IV. Provider business mailing address

9153 TWO NOTCH RD STE C11
COLUMBIA SC
29223-5853
US

V. Phone/Fax

Practice location:
  • Phone: 803-354-1072
  • Fax:
Mailing address:
  • Phone: 803-354-1072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. JANELLE RENEE ROBINSON
Title or Position: THERAPIST
Credential: PH.D., LPC-S, NCC
Phone: 803-354-1072