Provider Demographics
NPI:1366713968
Name:ROBINSON, MILLIE ELIZABETH (MA)
Entity type:Individual
Prefix:
First Name:MILLIE
Middle Name:ELIZABETH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 FURLOW LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-9634
Mailing Address - Country:US
Mailing Address - Phone:980-454-8017
Mailing Address - Fax:
Practice Address - Street 1:7115 FURLOW LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-9634
Practice Address - Country:US
Practice Address - Phone:980-454-8017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012026813101YM0800X
101YM0800X
KS2766101YP2500X
NC18762101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional