=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417828096
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARLINDA JOYCE ROBINSON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2025
-----------------------------------------------------
Last Update Date | 09/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 FOXCROFT AVE STE 101
-----------------------------------------------------
City | MARTINSBURG
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25401-5302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 681-821-2065
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 709 HARVEST MEADOW WAY
-----------------------------------------------------
City | NEW WHITELAND
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46184-9396
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-701-8372
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------