Provider Demographics
NPI:1558518282
Name:LINDSEY, SUZANNE LARAINE (LPC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:LARAINE
Last Name:LINDSEY
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 1:2843 JOYCE AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-4325
Mailing Address - Country:US
Mailing Address - Phone:404-657-2136
Mailing Address - Fax:404-463-7149
Practice Address - Street 1:2843 JOYCE AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-4325
Practice Address - Country:US
Practice Address - Phone:404-657-2136
Practice Address - Fax:404-463-7149
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002540101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional