Provider Demographics
NPI:1033595426
Name:ROBINETTE, JOHANNAH (LCMHC, NCC)
Entity Type:Individual
Prefix:
First Name:JOHANNAH
Middle Name:
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:UNION GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28689-0158
Mailing Address - Country:US
Mailing Address - Phone:704-928-7360
Mailing Address - Fax:704-919-5731
Practice Address - Street 1:239 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:NC
Practice Address - Zip Code:28634-9448
Practice Address - Country:US
Practice Address - Phone:704-928-7360
Practice Address - Fax:704-919-5731
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-07
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11727101YP2500X
NC11727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional