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NPI 1235011511

NPI 1235011511 : ROBERTSON COUNSELING, PLLC : MIDLOTHIAN, VA

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General NPI Number Information
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    NPI Number           |    1235011511
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERTSON COUNSELING, PLLC 
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Dates
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    Enumeration Date     |    07/25/2025
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    Last Update Date     |    07/29/2025
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Provider Practice Location Address
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    Address Line         |    5309 COMMONWEALTH CENTRE PKWY STE 401 
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    City                 |    MIDLOTHIAN
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    State                |    VA
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    Zip                  |    23112-2633
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    Country              |    US
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    Telephone            |    804-647-1198
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16425 RAVENCHASE WAY 
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    City                 |    MOSELEY
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    State                |    VA
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    Zip                  |    23120-0019
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    Country              |    US
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    Telephone            |    804-647-1198
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    Fax                  |    804-647-1198
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SYBIL LEAH ROBERTSON 
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    Credential           |    LCSW
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    Telephone            |    804-647-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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