Provider Demographics
NPI:1477719854
Name:MESSINA, SUZANNE (LPCMH)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:
Last Name:MESSINA
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 N OCEAN BLVD APT 1101E
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7896
Mailing Address - Country:US
Mailing Address - Phone:561-445-9040
Mailing Address - Fax:
Practice Address - Street 1:113 UNION ST STE B-1
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-1600
Practice Address - Country:US
Practice Address - Phone:302-604-2118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health