Provider Demographics
NPI:1871011684
Name:ROBINSON, PRISCILLA F (LCPC)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:F
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:A
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1207 HILLDALE RD
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2917
Mailing Address - Country:US
Mailing Address - Phone:443-857-9534
Mailing Address - Fax:
Practice Address - Street 1:300 DUMBARTON RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1562
Practice Address - Country:US
Practice Address - Phone:443-857-9534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9767101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool