Provider Demographics
NPI:1851752182
Name:ROBINSON, URSULA (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:URSULA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 NORTHLAND BLVD STE 107B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3610
Mailing Address - Country:US
Mailing Address - Phone:513-294-8330
Mailing Address - Fax:513-672-0941
Practice Address - Street 1:260 NORTHLAND BLVD STE 107B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3610
Practice Address - Country:US
Practice Address - Phone:513-294-8330
Practice Address - Fax:513-672-0941
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0171283Medicaid