Mrs. Suzette Delicia Blount
Counselor (Professional)

Address: 147 Forrest Park Ln, Dallas, GA 30157-9667
Phone: 7186444998

Mrs. Suzette Delicia Blount (NPI# 1942823901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942823901
Entity Type Individual
Full Name Mrs. Suzette Delicia Blount
Credential LPC
Gender Female
Practice Address 147 Forrest Park Ln
GA 30157-9667
Practice Telephone 7186444998
Mailing Address 147 Forrest Park Ln
GA 30157-9667
Mailing Telephone 7186444998
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-05-26
Last Update Date 2020-05-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers LPC011523 GA

Secondary Practice Locations

Address Telephone Number Fax Number
1899 Lake Rd Ste 223, Hiram, GA 301412293 4049076635

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Office Location

Street Address 147 FORREST PARK LN
State GA
Zip Code 30157-9667

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043852627 Lindsay Sheets Dentist 59 Hillside Trce Ste 105, Dallas, GA 30157 2019-10-15
1619459062 Emily Nicole Koopman Specialist/Technologist 399 Powder Creek Way, Dallas, GA 30157 2018-09-02
1073969861 Rachel Spencer Physical Therapist 99 Hillside Trace, Dallas, GA 30157 2016-05-11
1336514827 Petal Shields Community Health Worker 121 Omega Ct, Dallas, GA 30157 2015-12-09
1851797294 Annette Moncion Nurse Practitioner 32 Midland Lane, Dallas, GA 30157 2014-11-12
1003211079 Melissa Brice Lactation Consultant, Non-RN 430 Parson Rd, Dallas, GA 30157 2014-11-03
1104101690 Jared Alan Lott Pharmacist 303 Charlie Watts Blvd, Dallas, GA 30157 2011-10-15
1972888758 Lisa Nicole Mcentire Massage Therapist 119 Fairview Oak Trace, Dallas, GA 30157 2011-10-12
1548570120 Chad Stough Physician Assistant 2713 Marietta Highway, Suite 122, Dallas, GA 30157 2010-10-15
1114103686 Christine J. Mezza Counselor 2260 Gold Mine Rd, Dallas, GA 30157 2008-01-15
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Zip Code 30157

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.