Provider Demographics
NPI:1275936668
Name:ROBINSON, TARA (LCMHC, LPC)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:
Credentials:LCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 INDIGO CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-6456
Mailing Address - Country:US
Mailing Address - Phone:252-503-9256
Mailing Address - Fax:
Practice Address - Street 1:1349 INDIGO CT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-6456
Practice Address - Country:US
Practice Address - Phone:252-503-9256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6271101YP2500X
NC8016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional