Provider Demographics
NPI:1730651548
Name:LIPSCOMB, ROBILENE C (LPC)
Entity Type:Individual
Prefix:MS
First Name:ROBILENE
Middle Name:C
Last Name:LIPSCOMB
Suffix:
Gender:F
Credentials:LPC
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Mailing Address - Street 1:250 CORPORATE CENTER CT
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6388
Mailing Address - Country:US
Mailing Address - Phone:770-389-8100
Mailing Address - Fax:678-782-6622
Practice Address - Street 1:11111 HOUZE RD STE 225
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5618
Practice Address - Country:US
Practice Address - Phone:770-603-0123
Practice Address - Fax:770-910-9919
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA008463101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional