Provider Demographics
NPI:1184436453
Name:ROBINSON, DIAMONIQUE (LMFTA)
Entity type:Individual
Prefix:
First Name:DIAMONIQUE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 IVY MEADOW LN APT 1G
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6199
Mailing Address - Country:US
Mailing Address - Phone:336-653-8016
Mailing Address - Fax:
Practice Address - Street 1:2741 CAMPUS WALK AVE BLDG 400
Practice Address - Street 2:SUITE 300
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-8878
Practice Address - Country:US
Practice Address - Phone:919-909-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20146A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist