Provider Demographics
NPI:1114265857
Name:DENNIS, ROBIN E (MS ED, NCC, CACII)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:E
Last Name:DENNIS
Suffix:
Gender:F
Credentials:MS ED, NCC, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 DUKE ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-4403
Mailing Address - Country:US
Mailing Address - Phone:843-255-6000
Mailing Address - Fax:843-255-9406
Practice Address - Street 1:4819 BLUFFTON PKWY
Practice Address - Street 2:SUITE 303
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4622
Practice Address - Country:US
Practice Address - Phone:843-255-6020
Practice Address - Fax:843-255-9511
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1407252 CERTIFICATE101YA0400X
28463 CERTIFICATE101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor