Healthcare Provider Details

I. General information

NPI: 1205457025
Provider Name (Legal Business Name): ASHLEI NICOLE ROBINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 MAPLEWOOD RIDGE CT
SUMMERVILLE SC
29486-5328
US

IV. Provider business mailing address

214 MAPLEWOOD RIDGE CT
SUMMERVILLE SC
29486-5328
US

V. Phone/Fax

Practice location:
  • Phone: 843-530-3717
  • Fax:
Mailing address:
  • Phone: 843-530-3717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7667
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7667
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: