MEDICARE: DESIGN COUNSELING STRATEGIES, 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	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1780074187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESIGN COUNSELING STRATEGIES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 724491
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31139-1491
Country	:	US
Telephone Number	:	901-258-2117
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 PACES FERRY RD SE
Second Line	:	SUITE 750
City	:	ATLANTA
State	:	GA
Zip	:	30339-4053
Country	:	US
Telephone Number	:	901-258-2117
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	MS. SUSAN MARIE ROBINSON
Credential	:	LCSW
Telephone Number	:	901-258-2117

Provider Enumeration Date	:	01/23/2015
Last Update Date	:	03/16/2016

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