Healthcare Provider Details

I. General information

NPI: 1447247531
Provider Name (Legal Business Name): SHEILA D ROBINETTE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 MAIN ST
SMITHFIELD VA
23430-1345
US

IV. Provider business mailing address

341 MAIN ST
SMITHFIELD VA
23430-1345
US

V. Phone/Fax

Practice location:
  • Phone: 757-356-1813
  • Fax: 757-356-1813
Mailing address:
  • Phone: 757-356-1813
  • Fax: 757-356-1813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002534
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: