MEDICARE: SOLUTIONS COUNSELING CENTERS-WOODSTOCK, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1548031396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS COUNSELING CENTERS-WOODSTOCK, LLC

Provider Business Mailing Address
First Line	:	6750 POLO DR
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-5725
Country	:	US
Telephone Number	:	404-403-5690
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 RIVER PARK NORTH DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-7834
Country	:	US
Telephone Number	:	404-307-9071
Fax Number	:

Authorized Official
Title or Position	:	ORGANIZER
Name	:	LESLIE P DUCKETT
Credential	:	LPC
Telephone Number	:	404-403-5690

Provider Enumeration Date	:	01/10/2024
Last Update Date	:	01/10/2024

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