Provider Demographics
NPI:1497969950
Name:STANGLAND, SUZANNE NICOLE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:NICOLE
Last Name:STANGLAND
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OGLETHORPE PROFESSIONAL BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4874
Mailing Address - Country:US
Mailing Address - Phone:912-352-7638
Mailing Address - Fax:
Practice Address - Street 1:1481 DEAN FOREST RD
Practice Address - Street 2:SUITE 200A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-9342
Practice Address - Country:US
Practice Address - Phone:912-667-5848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional