Provider Demographics
NPI:1225436447
Name:ROBINSON-THOMAS, JEFFREY FRANKLIN (PHD, LCMHCS, LCAS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:FRANKLIN
Last Name:ROBINSON-THOMAS
Suffix:
Gender:M
Credentials:PHD, LCMHCS, LCAS
Other - Prefix:
Other - First Name:JEFFREY
Other - Middle Name:FRANKLIN
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2390 HEMBY LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3775
Practice Address - Country:US
Practice Address - Phone:252-744-3256
Practice Address - Fax:252-744-5713
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3376-A101YA0400X
NCA9797101YP2500X
NC3376101YA0400X
NCS9797101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional