Provider Demographics
NPI:1710401476
Name:DR. SUZANNE VEILLEUX, LLC
Entity Type:Organization
Organization Name:DR. SUZANNE VEILLEUX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VEILLEUX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:843-368-6937
Mailing Address - Street 1:5 BASSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4455
Mailing Address - Country:US
Mailing Address - Phone:843-757-7391
Mailing Address - Fax:843-757-7390
Practice Address - Street 1:29 PLANTATION PARK DR STE 108
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9010
Practice Address - Country:US
Practice Address - Phone:843-368-6937
Practice Address - Fax:843-815-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1230103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty