Provider Demographics
NPI:1396901906
Name:ROBINSON, ELIZABETH SUE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SUE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:SUE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH, BSDH
Mailing Address - Street 1:6340 COTTON DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-5047
Mailing Address - Country:US
Mailing Address - Phone:253-365-4128
Mailing Address - Fax:
Practice Address - Street 1:1201 S PROCTOR ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2047
Practice Address - Country:US
Practice Address - Phone:253-365-4128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD978124Q00000X
WALH61453285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No124Q00000XDental ProvidersDental Hygienist