Provider Demographics
NPI:1689987786
Name:SUZANNE PAURATORE, LCSW, INC.
Entity Type:Organization
Organization Name:SUZANNE PAURATORE, LCSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAURATORE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMFT
Authorized Official - Phone:985-649-2549
Mailing Address - Street 1:417 BRIARGROVE DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1702
Mailing Address - Country:US
Mailing Address - Phone:985-649-2549
Mailing Address - Fax:985-649-2549
Practice Address - Street 1:417 BRIARGROVE DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1702
Practice Address - Country:US
Practice Address - Phone:985-649-2549
Practice Address - Fax:985-649-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-17
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty