Healthcare Provider Details

I. General information

NPI: 1154547388
Provider Name (Legal Business Name): ROBIN BETH DEHAVEN-ROBERTS LPC,LSATP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 BOULDERS PKWY STE 410
NORTH CHESTERFIELD VA
23225-5549
US

IV. Provider business mailing address

1025 BOULDERS PKWY STE 410
NORTH CHESTERFIELD VA
23225-5549
US

V. Phone/Fax

Practice location:
  • Phone: 804-988-3210
  • Fax:
Mailing address:
  • Phone: 804-245-6372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701004957
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: