Healthcare Provider Details

I. General information

NPI: 1114814324
Provider Name (Legal Business Name): MALIKA ROBINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 LONESOME DOVE LN
LAWRENCEVILLE VA
23868-2906
US

IV. Provider business mailing address

12500 HURDSTROM DR APT 4208
MIDLOTHIAN VA
23113-3837
US

V. Phone/Fax

Practice location:
  • Phone: 254-658-1123
  • Fax:
Mailing address:
  • Phone: 254-658-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701015008
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015008
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: