Provider Demographics
NPI:1649833997
Name:ROBINSON, MEGHAN PAIGE (LPC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:PAIGE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12751 MARBLESTONE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-8337
Mailing Address - Country:US
Mailing Address - Phone:703-878-3290
Mailing Address - Fax:
Practice Address - Street 1:12751 MARBLESTONE DR STE 200
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-8337
Practice Address - Country:US
Practice Address - Phone:703-878-3290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2022-02-11
Deactivation Date:2020-07-06
Deactivation Code:
Reactivation Date:2022-01-14
Provider Licenses
StateLicense IDTaxonomies
VA0701008929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health