Provider Demographics
NPI:1871804583
Name:LILES, ROBIN GUILL (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:GUILL
Last Name:LILES
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-4214
Mailing Address - Country:US
Mailing Address - Phone:336-953-5749
Mailing Address - Fax:336-334-7280
Practice Address - Street 1:1601 E MARKET ST
Practice Address - Street 2:327 PROCTOR HALL
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27411-0002
Practice Address - Country:US
Practice Address - Phone:336-285-4390
Practice Address - Fax:336-334-7280
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional