Provider Demographics
NPI:1518841782
Name:ROBERSON, SHEENA J (LCMHC-A)
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:J
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 LUCERNE CT UNIT A
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-5843
Mailing Address - Country:US
Mailing Address - Phone:252-258-5161
Mailing Address - Fax:
Practice Address - Street 1:2433 SAINT ANDREW ST
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-9213
Practice Address - Country:US
Practice Address - Phone:252-258-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health