Provider Demographics
NPI:1659610137
Name:ROBINSON, AJITA MONIKE (PHD, LCPC-S, NCC)
Entity Type:Individual
Prefix:MS
First Name:AJITA
Middle Name:MONIKE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD, LCPC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 SAINT ELMO AVE STE 506
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6019
Mailing Address - Country:US
Mailing Address - Phone:301-661-3481
Mailing Address - Fax:800-735-4520
Practice Address - Street 1:4915 SAINT ELMO AVE STE 506
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6019
Practice Address - Country:US
Practice Address - Phone:301-661-3481
Practice Address - Fax:800-735-4520
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MDLC4911101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty