Provider Demographics
NPI:1821861857
Name:ROBINSON, SAMUEL FRANCIS (LCMHCA)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:FRANCIS
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:SAM
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28 ROCKY HOLW
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9103
Mailing Address - Country:US
Mailing Address - Phone:828-808-1616
Mailing Address - Fax:
Practice Address - Street 1:28 ROCKY HOLW
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-9103
Practice Address - Country:US
Practice Address - Phone:828-808-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-01
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19284101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health