Provider Demographics
NPI:1245382167
Name:ROBINSON, DONNA P (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:P
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 1:7716 MR PEANUT RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:27592-8702
Mailing Address - Country:US
Mailing Address - Phone:919-608-2643
Mailing Address - Fax:919-554-9232
Practice Address - Street 1:7716 MR PEANUT RD
Practice Address - Street 2:
Practice Address - City:WILLOW SPRING
Practice Address - State:NC
Practice Address - Zip Code:27592-8702
Practice Address - Country:US
Practice Address - Phone:919-608-2643
Practice Address - Fax:919-554-9232
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3846101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1348EOtherBLUE CROSS BLUE SHIELD