Provider Demographics
NPI:1912095118
Name:ROBINSON, LESLIE ALISON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ALISON
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 1:8948 GANTON CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2478
Mailing Address - Country:US
Mailing Address - Phone:804-873-7029
Mailing Address - Fax:
Practice Address - Street 1:6851 COURTHOUSE RD STE 300
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-5308
Practice Address - Country:US
Practice Address - Phone:804-715-3215
Practice Address - Fax:804-715-3233
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA146762OtherANTHEM/BCBS/HEALTHKEEPERS
VA242496OtherCOMPSYCH
VA345977OtherMHN(MENTAL HEALTH NETWORK
VAO82679MOtherSENTARA/SO. HEALTH/OPTIMA
VA7836648OtherAETNA