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NPI Code Detail

MEDICARE: MRS. AKEESHA DANEEN ROBINSON MA

MEDICARE: MRS. AKEESHA DANEEN ROBINSON MA
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
1101YM0800XMental Health CounselorLPC008759GA

General Provider Information

NPI Number : 1578617247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AKEESHA DANEEN ROBINSON MA
Provider Business Mailing Address
First Line : 65 DEEP SPRINGS WAY
Second Line :
City : COVINGTON
State : GA
Zip : 30016-8839
Country : US
Telephone Number : 404-583-6396
Fax Number :
Provider Business Practice Location Address
First Line : 175 GWINNETT DR
Second Line : SUITE 360
City : LAWRENCEVILLE
State : GA
Zip : 30046-8444
Country : US
Telephone Number : 678-209-2337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 08/30/2016

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