Healthcare Provider Details

I. General information

NPI: 1235011511
Provider Name (Legal Business Name): ROBERTSON COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5309 COMMONWEALTH CENTRE PKWY STE 401
MIDLOTHIAN VA
23112-2633
US

IV. Provider business mailing address

16425 RAVENCHASE WAY
MOSELEY VA
23120-0019
US

V. Phone/Fax

Practice location:
  • Phone: 804-647-1198
  • Fax:
Mailing address:
  • Phone: 804-647-1198
  • Fax: 804-647-1198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SYBIL LEAH ROBERTSON
Title or Position: OWNER
Credential: LCSW
Phone: 804-647-1198