Provider Demographics
NPI:1235337718
Name:SUGG, CELIA ROSEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:ROSEN
Last Name:SUGG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W WALL ST
Mailing Address - Street 2:STE. 200
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-5284
Mailing Address - Country:US
Mailing Address - Phone:817-251-3507
Mailing Address - Fax:214-292-9664
Practice Address - Street 1:315 W WALL ST
Practice Address - Street 2:STE. 200
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-5284
Practice Address - Country:US
Practice Address - Phone:817-251-3507
Practice Address - Fax:214-292-9966
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX364841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical