Provider Demographics
NPI:1154375863
Name:GILLS, ROBIN DAWN (LPC)
Entity type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:DAWN
Last Name:GILLS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 GREENBRIER CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2640
Mailing Address - Country:US
Mailing Address - Phone:757-547-9007
Mailing Address - Fax:757-548-1928
Practice Address - Street 1:860 GREENBRIER CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2640
Practice Address - Country:US
Practice Address - Phone:757-547-9007
Practice Address - Fax:757-548-1928
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA081017OtherOPTIMA
VA116225OtherBLUE CROSS BLUE SHIELD
VA3118049OtherMAMSI
VA7915530OtherAETNA
VA341040OtherMHN