Provider Demographics
NPI:1689002354
Name:SUGGS, ERNESTINE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:ERNESTINE
Middle Name:
Last Name:SUGGS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 MARTINS GRANT CT
Mailing Address - Street 2:
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-1932
Mailing Address - Country:US
Mailing Address - Phone:240-334-7853
Mailing Address - Fax:410-721-2025
Practice Address - Street 1:2015 MARTINS GRANT CT
Practice Address - Street 2:
Practice Address - City:CROWNSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21032-1932
Practice Address - Country:US
Practice Address - Phone:240-334-7853
Practice Address - Fax:410-721-2025
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5209101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional