Provider Demographics
NPI:1013202753
Name:CATOE, ROBIN DALE (LPC, CACI, NBCC)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:DALE
Last Name:CATOE
Suffix:
Gender:F
Credentials:LPC, CACI, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2442
Mailing Address - Country:US
Mailing Address - Phone:803-285-6911
Mailing Address - Fax:803-286-6697
Practice Address - Street 1:114 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2442
Practice Address - Country:US
Practice Address - Phone:803-285-6911
Practice Address - Fax:803-286-6697
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1105273101YA0400X
SC4277101YP2500X
NC4317101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAD08LAMedicaid