Healthcare Provider Details

I. General information

NPI: 1902733512
Provider Name (Legal Business Name): KAREN ROBINSON-RIDGILL LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 WESTCHESTER DR
FLORENCE SC
29501-6218
US

IV. Provider business mailing address

1512 WESTCHESTER DR
FLORENCE SC
29501-6218
US

V. Phone/Fax

Practice location:
  • Phone: 843-758-5866
  • Fax:
Mailing address:
  • Phone: 843-758-5866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number8666
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: