Provider Demographics
NPI:1215558408
Name:ROBINSON, BRENDA MICHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:MICHELLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 HAMMOND DR UNIT 417
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5498
Mailing Address - Country:US
Mailing Address - Phone:770-576-5831
Mailing Address - Fax:
Practice Address - Street 1:1160 HAMMOND DR UNIT 417
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-5498
Practice Address - Country:US
Practice Address - Phone:770-576-5831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011540101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional