Provider Demographics
NPI:1376763870
Name:SAUNDERS, SUSAN KAY (LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:KAY
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 HIGHWAY 36 N. BYPASS
Mailing Address - Street 2:STE. 1
Mailing Address - City:GATESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76528-4680
Mailing Address - Country:US
Mailing Address - Phone:254-865-9911
Mailing Address - Fax:254-865-9912
Practice Address - Street 1:407 HIGHWAY 36 N. BYPASS
Practice Address - Street 2:STE. 1
Practice Address - City:GATESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76528-4680
Practice Address - Country:US
Practice Address - Phone:254-865-9911
Practice Address - Fax:254-865-9912
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61726101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184583601Medicaid