Provider Demographics
NPI:1689001133
Name:SMITH, ROBIN (LCMHC)
Entity Type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:
Last Name:SMITH
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CONEFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-9698
Mailing Address - Country:US
Mailing Address - Phone:919-333-7379
Mailing Address - Fax:
Practice Address - Street 1:37 CONEFLOWER CT
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-9698
Practice Address - Country:US
Practice Address - Phone:919-333-7379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10226101YM0800X
NC3180A101YA0400X, 101YA0400X
NCA10226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health