Doctor Name: | MR. ROBIN SMITH |
NPI Number: | 1689001133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCASA, LPCA |
License Number: | 3180A |
Business Practice Address: | 3125 Poplarwood Ct Suite 203 Raleigh, NC - 276041084 |
Business Phone Number: | 9197876131 |
Business Fax Number: | 9195712932 |
Mailing Address: | 2005 Olive Tree Ln, CLAYTON |
State: | NC |
Postal Code: | 275203726 |
Phone Number: | 9193337379 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 10/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3180A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |