Provider Demographics
NPI:1730973959
Name:ROBINSON, WILLIE (PLPC)
Entity type:Individual
Prefix:
First Name:WILLIE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 OAK PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:GARYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70051-3409
Mailing Address - Country:US
Mailing Address - Phone:504-319-6820
Mailing Address - Fax:
Practice Address - Street 1:2156 WOODDALE BLVD STE 750
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1404
Practice Address - Country:US
Practice Address - Phone:225-930-8058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional