Provider Demographics
NPI:1598110702
Name:ROBERTS, CHESBROUGH LAWING (MS, LPC)
Entity Type:Individual
Prefix:
First Name:CHESBROUGH
Middle Name:LAWING
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:LAWING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:2102 CAHABA RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1161
Mailing Address - Country:US
Mailing Address - Phone:205-835-7173
Mailing Address - Fax:
Practice Address - Street 1:2102 CAHABA RD
Practice Address - Street 2:SUITE E
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-1161
Practice Address - Country:US
Practice Address - Phone:205-835-7173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3536101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional