Provider Demographics
NPI:1891317970
Name:EROBINSON
Entity Type:Organization
Organization Name:EROBINSON
Other - Org Name:EROBINSON EVERS ROBINSON SOLE MBR
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EVERS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-376-2232
Mailing Address - Street 1:1521 HIGH GROVE WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5685
Mailing Address - Country:US
Mailing Address - Phone:407-376-2232
Mailing Address - Fax:407-296-5280
Practice Address - Street 1:1521 HIGH GROVE WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5685
Practice Address - Country:US
Practice Address - Phone:407-376-2232
Practice Address - Fax:407-296-5280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty