Provider Demographics
NPI:1245796275
Name:ROBIN COLEY WOOLING, LPC, ATR, LLC
Entity Type:Organization
Organization Name:ROBIN COLEY WOOLING, LPC, ATR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:COLEY
Authorized Official - Last Name:WOOLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, ATR
Authorized Official - Phone:757-639-6835
Mailing Address - Street 1:1501 BRENLAND CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6758
Mailing Address - Country:US
Mailing Address - Phone:757-639-6835
Mailing Address - Fax:
Practice Address - Street 1:919 W 21ST ST STE B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1559
Practice Address - Country:US
Practice Address - Phone:757-622-6794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health