Provider Demographics
NPI:1356537823
Name:FROTHINGHAM, SUE C (LPC)
Entity type:Individual
Prefix:MRS
First Name:SUE
Middle Name:C
Last Name:FROTHINGHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 MCALLISTER ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-5805
Mailing Address - Country:US
Mailing Address - Phone:662-332-1819
Mailing Address - Fax:662-332-8790
Practice Address - Street 1:850 MCALLISTER ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-5805
Practice Address - Country:US
Practice Address - Phone:662-332-1819
Practice Address - Fax:662-332-8790
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional