Provider Demographics
NPI:1053081786
Name:ROBINSON, SARAIYA NOELLE
Entity Type:Individual
Prefix:
First Name:SARAIYA
Middle Name:NOELLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 GLEN WILLOW DR APT 9
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1563
Mailing Address - Country:US
Mailing Address - Phone:240-312-8913
Mailing Address - Fax:
Practice Address - Street 1:901 GLEN WILLOW DR APT 4
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1566
Practice Address - Country:US
Practice Address - Phone:240-312-8913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty