Provider Demographics
NPI:1750270120
Name:ROBINSON, GROCE SCOT (LPA, HSP-PA)
Entity type:Individual
Prefix:
First Name:GROCE
Middle Name:SCOT
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LPA, HSP-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:OLD FORT
Mailing Address - State:NC
Mailing Address - Zip Code:28762-8694
Mailing Address - Country:US
Mailing Address - Phone:828-925-0135
Mailing Address - Fax:
Practice Address - Street 1:551 BURMA RD W STE 8
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-5583
Practice Address - Country:US
Practice Address - Phone:828-925-0135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6819103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist