Provider Demographics
NPI:1851146310
Name:JULIET A SINGLETARY, MA, LPC, LLC
Entity Type:Organization
Organization Name:JULIET A SINGLETARY, MA, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SINGLETARY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-336-6797
Mailing Address - Street 1:PO BOX 1282
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-0038
Mailing Address - Country:US
Mailing Address - Phone:678-336-6797
Mailing Address - Fax:470-819-3756
Practice Address - Street 1:1586 MAPLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-2075
Practice Address - Country:US
Practice Address - Phone:678-336-6797
Practice Address - Fax:470-819-3756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty