Provider Demographics
NPI:1437354396
Name:WINFIELD, SUSAN RACHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:RACHELLE
Last Name:WINFIELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:CANDEE'
Other - Middle Name:
Other - Last Name:WINFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1044 BRIARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-7102
Mailing Address - Country:US
Mailing Address - Phone:404-305-8175
Mailing Address - Fax:404-305-8176
Practice Address - Street 1:1720 PHOENIX BLVD
Practice Address - Street 2:SUITE 540
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-5594
Practice Address - Country:US
Practice Address - Phone:770-909-9500
Practice Address - Fax:770-909-9600
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002594101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional