Provider Demographics
NPI:1801007505
Name:HUART, SUSAN KATHLEEN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KATHLEEN
Last Name:HUART
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4791 NE 2ND TER
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-6029
Mailing Address - Country:US
Mailing Address - Phone:954-772-6731
Mailing Address - Fax:
Practice Address - Street 1:4791 NE 2ND TER
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-6029
Practice Address - Country:US
Practice Address - Phone:954-772-6731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health