| Doctor Name: | MS. ROBIN BECK NELSON |
| NPI Number: | 1154591642 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC11199 |
| Business Practice Address: | 4320 Southport Supply Rd Se Suite 200 Southport, NC - 284618158 |
| Business Phone Number: | 9104570800 |
| Business Fax Number: | 9104571072 |
| Mailing Address: | 4320 Southport Supply Rd Se, Suite 200 SOUTHPORT |
| State: | NC |
| Postal Code: | 284618158 |
| Phone Number: | 9104570800 |
| Fax Number: | 9104571072 |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC11199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |