Provider Demographics
NPI:1124247622
Name:ROBINSON, STEPHEN LEE (LPCS LCAS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:LEE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LPCS LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 E 5TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2379
Mailing Address - Country:US
Mailing Address - Phone:704-334-3444
Mailing Address - Fax:704-334-3499
Practice Address - Street 1:1801 E 5TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2379
Practice Address - Country:US
Practice Address - Phone:704-334-3444
Practice Address - Fax:704-334-3499
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC939101YA0400X
NC4536101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)