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General NPI Number Information
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NPI Number | 1245796275
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Entity Type | Organization
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Legal Business Name | ROBIN COLEY WOOLING, LPC, ATR, LLC
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 919 W 21ST ST STE B
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City | NORFOLK
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State | VA
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Zip | 23517-1559
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Country | US
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Telephone | 757-622-6794
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 BRENLAND CIR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6758
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Country | US
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Telephone | 757-639-6835
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROBIN COLEY WOOLING
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Credential | LPC, ATR
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Telephone | 757-639-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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