Provider Demographics
NPI:1265759468
Name:ROBINSON, KELLY ANNE RAMPEY (LPC, NCC)
Entity type:Individual
Prefix:
First Name:KELLY ANNE
Middle Name:RAMPEY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BOARDWALK LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9461
Mailing Address - Country:US
Mailing Address - Phone:803-447-4313
Mailing Address - Fax:
Practice Address - Street 1:1333 TAYLOR ST STE 4H
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2949
Practice Address - Country:US
Practice Address - Phone:803-447-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4853101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional