Provider Demographics
NPI:1679177091
Name:SUZIE ABERCROMBIE, LPC, PLLC
Entity Type:Organization
Organization Name:SUZIE ABERCROMBIE, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:ABERCROMBIE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-621-9857
Mailing Address - Street 1:12700 HILLCREST RD STE 214
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2042
Mailing Address - Country:US
Mailing Address - Phone:214-621-9857
Mailing Address - Fax:214-594-2383
Practice Address - Street 1:12700 HILLCREST RD STE 214
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2042
Practice Address - Country:US
Practice Address - Phone:214-621-9857
Practice Address - Fax:214-594-2383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty