Provider Demographics
NPI:1437115128
Name:ANDERSON, ROBIN H (MAED LPC)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:H
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MAED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715
Mailing Address - Country:US
Mailing Address - Phone:828-665-2369
Mailing Address - Fax:828-665-2369
Practice Address - Street 1:9 ASBURY ROAD
Practice Address - Street 2:STE 201A
Practice Address - City:ENKA
Practice Address - State:NC
Practice Address - Zip Code:28728
Practice Address - Country:US
Practice Address - Phone:828-665-2369
Practice Address - Fax:828-665-2369
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102242Medicaid
NC132XPOtherBLUE CROSS