Provider Demographics
NPI:1174187371
Name:BECHERT, SUSAN R (LICSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:R
Last Name:BECHERT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HUNTSVILLE PSYCHOTHERAPY AND COUNSELING SERVICES
Mailing Address - Street 2:7540 S. MEMORIAL PARKWAY, SUITE W
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802
Mailing Address - Country:US
Mailing Address - Phone:256-824-9171
Mailing Address - Fax:256-824-9170
Practice Address - Street 1:HUNTSVILLE PSYCHOTHERAPY AND COUNSELING SERVICES
Practice Address - Street 2:7540 S. MEMORIAL PARKWAY, SUITE W
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802
Practice Address - Country:US
Practice Address - Phone:256-824-9171
Practice Address - Fax:256-824-9170
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4768C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical