SUSAN ALLEN BOOTH (NPI# 1578817581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578817581 |
Entity Type | Individual |
Full Name | SUSAN ALLEN BOOTH |
Credential | LMFT |
Practice Address |
3312 Apple Valley Rd Commerce GA 30529-4111 |
Practice Telephone | 7062022986 |
Mailing Telephone | 7062022986 |
Enumeration Date | 2012-10-30 |
Last Update Date | 2012-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 001259 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255451704 | Susan Lanette Booth | Pharmacist | 2350 Holcomb Bridge Rd, Roswell, GA 30076-3408 | 2007-03-29 |
1063434892 | Susan L Booth | Physical Therapist | 4451a Mahoning Ave, Warren, OH 44483 | 2006-07-24 |
1225360381 | Susan Lynne Booth | Occupational Therapy Assistant | 5677 S Transit Rd, Suite # 318, Lockport, NY 14094-5842 | 2010-01-31 |
Street Address |
3312 APPLE VALLEY RD |
City | COMMERCE |
State | GA |
Zip Code | 30529-4111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
Find all providers in zip 30529 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861968414 | Lizzette Ceja | Marriage & Family Therapist | 5400 E Olympic Blvd 1st Fl, Commerce, CA 90022-5190 | 2018-10-22 |
1588195143 | Bianca Ranney | Marriage & Family Therapist | 5800 S Eastern Ave Ste 551, Commerce, CA 90040-4016 | 2017-03-24 |
1073647632 | Sheri Lynn Tripp | Marriage & Family Therapist | 2450 South Atlantic Blvd., Commerce, CA 90040 | 2007-03-15 |
1265563886 | Bianca Louise Rodriguez | Marriage & Family Therapist | 2450 S Atlantic Blvd, # 101, Commerce, CA 90040-1200 | 2007-03-07 |
1255461398 | Harold Enriquez | Marriage & Family Therapist | 2450 S. Altlantic Blvd, Suite 101, Commerce, CA 90040 | 2007-03-07 |
1881722783 | Wendy Coloma | Marriage & Family Therapist | 2450 S Atlantic Blvd Ste 101, Commerce, CA 90040-1200 | 2007-03-01 |
1659408094 | Francine S Perrin | Marriage & Family Therapist | 1436 Goodrich, Enki Health and Research Systems Commerce Site, Commerce, CA 90022 | 2007-02-27 |
1073654372 | Emily Joanne Damiells | Marriage & Family Therapist | 5675 Telegraph Rd, Ste. 200, Commerce, CA 90040-1570 | 2007-02-09 |
1104871276 | Marcel Alimbuyuguen Mendoza | Marriage & Family Therapist | 5628 E Slauson Ave, Commerce, CA 90040 | 2006-05-24 |
1649870593 | Marie Hope Barraza | Marriage & Family Therapist | 5400 E Olympic Blvd Fl 1, Commerce, CA 90022-5147 | 2020-10-29 |
Find all providers in COMMERCE |
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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.