Provider Demographics
NPI:1932382694
Name:SUGGS, JAIME LAUREN (MA, LPA)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LAUREN
Last Name:SUGGS
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241A MILITARY CUTOFF RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3637
Mailing Address - Country:US
Mailing Address - Phone:910-962-7898
Mailing Address - Fax:910-962-2478
Practice Address - Street 1:1241A MILITARY CUTOFF RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3637
Practice Address - Country:US
Practice Address - Phone:910-962-7898
Practice Address - Fax:910-962-2478
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3488103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical