MRS. SUZANNE CLARK (NPI# 1588836852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588836852 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE CLARK |
| Credential | LPC |
| Practice Address |
11285 Elkins Rd D-4 Roswell GA 30076-1259 |
| Practice Telephone | 7703774958 |
| Practice Fax Number | 7705210512 |
| Mailing Telephone | 7703774958 |
| Mailing Fax Number | 7705210512 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004868 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013273705 | Suzanne Clark | Audiologist | 1044 Summit Dr, Middletown, OH 45042 | 2012-04-06 |
| 1972051183 | Suzanne Clark | Licensed Practical Nurse | 109 W Main St, Alvordton, OH 43501-9763 | 2016-09-16 |
| 1801344536 | Suzanne Stier Clark | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2016-09-11 |
| 1851644819 | Suzanne Clark | Social Worker | 4408 Delwood Ln, Suite 4, Panama City, FL 32408-7492 | 2012-10-16 |
| 1720262603 | Suzanne Clark | Marriage & Family Therapist | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-27 |
| 1184804262 | Suzanne Marie Clark | Massage Therapist | 11314 4th Ave W, Ste 103, Everett, WA 98204-6926 | 2007-11-06 |
| 1235342395 | Suzanne Kozee Clark | Pharmacist | 300 Sw 16th Ave, Gainesville, FL 32601-8540 | 2007-05-07 |
| 1821114067 | Suzanne H Clark | Nurse Practitioner | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-03-21 |
| Street Address |
11285 ELKINS RD D-4 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008925 | Casey P. Calvert | Counselor | 11285 Elkins Rd, D-3, Roswell, GA 30076-1259 | 2006-01-18 |
| 1457909517 | Lindsay Wynett | Speech-Language Pathologist | 11285 Elkins Rd, Roswell, GA 30076-1259 | 2019-08-30 |
| 1134406549 | Deborah Lynch Cagle | Counselor | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2011-11-14 |
| 1558568576 | Kathleen D Michaud | Marriage & Family Therapist | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2007-07-02 |
| 1780880690 | Annalisa Derenthal | Counselor | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2007-06-26 |
| 1326261645 | Marina Renee Rutkowski | Social Worker | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2007-04-11 |
| 1457493991 | Susan Bruder Mattson | Psychologist | 11285 Elkins Rd, Ste D4, Roswell, GA 30076 | 2007-02-13 |
| 1699813055 | Michael R Pitts | Psychologist | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2007-02-01 |
| 1104999713 | Aleta Janine Braykovich | Social Worker | 11285 Elkins Rd, Suite D-4, Roswell, GA 30076-1259 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051492 | Atlanta Counseling Solutions, LLC | Counselor | 8150 Sentinae Chase Dr, Roswell, GA 30076-4456 | 2020-07-24 |
| 1033727052 | Susan Payne Richardson | Counselor | 555 Sun Valley Dr Ste L1, Roswell, GA 30076-5630 | 2020-07-15 |
| 1295397529 | Susan Martin | Counselor | 245 Farm Trak, Roswell, GA 30075-4218 | 2019-07-08 |
| 1942772876 | Cynthia Linskey | Counselor | 10929 Crabapple Rd Ste 203e, Roswell, GA 30075-7657 | 2018-12-17 |
| 1912483744 | Donnisha Lavigne | Counselor | 555 Sun Valley Dr Ste L3, Roswell, GA 30076-5630 | 2018-07-16 |
| 1205347671 | Anna I Baxter | Counselor | 700 Old Roswell Lakes Pkwy Ste 300, Roswell, GA 30076-1612 | 2017-10-12 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1952851271 | Rational Lifestyle Consulting LLC | Counselor | 310 S Lea Ave, Roswell, NM 88203-4562 | 2016-10-11 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| Find all providers in ROSWELL | ||||
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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.