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General NPI Number Information
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NPI Number | 1174997811
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Entity Type | Individual
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Provider Name | ROBERTA DENISE BRINKLEY LCMHC, LCAS-A
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Gender | Female
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 5709 W FRIENDLY AVE STE A
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City | GREENSBORO
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State | NC
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Zip | 27410-4112
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Country | US
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Telephone | 336-986-9787
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Fax | 336-232-1516
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Provider Business Mailing Address
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Address Line | 5709 W FRIENDLY AVE STE A
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City | GREENSBORO
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State | NC
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Zip | 27410-4112
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Country | US
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Telephone | 252-955-2354
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11985
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 11985
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11985
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License Number State | NC
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