Healthcare Provider Details

I. General information

NPI: 1629553060
Provider Name (Legal Business Name): ANGELIA ROBINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E 2ND AVE
FRANKLIN VA
23851-1506
US

IV. Provider business mailing address

113 POCAHONTAS ST
FRANKLIN VA
23851-2330
US

V. Phone/Fax

Practice location:
  • Phone: 757-562-2208
  • Fax: 757-925-2296
Mailing address:
  • Phone: 757-768-3571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701007909
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: