MRS. SUSAN B JUNG (NPI# 1881925659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881925659 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN B JUNG |
| Credential | LPC |
| Practice Address |
2061 Bethel Rd Ne Conyers GA 30012-1530 |
| Practice Telephone | 7707768446 |
| Mailing Telephone | 7707768446 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC003429 | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
003429 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 715 James Currie Rd, Dublin, GA 310211489 | 7707768446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437493475 | Susan Jung | Physical Therapist | 3090 Beltagh Ave, Wantagh, NY 11793-2519 | 2012-11-15 |
| 1831321223 | Susan H Jung | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2009-08-18 |
| 1316180797 | Susan Soo Jung | Nurse Practitioner | 29800 Bainbridge Rd, Solon, OH 44139-2202 | 2009-04-14 |
| 1962415588 | Susan C Jung | Family Medicine | 923 S San Gabriel Blvd, San Gabriel, CA 91776-2847 | 2006-08-14 |
| Street Address |
2061 BETHEL RD NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321665 | Dream 4 You Coaching and Counseling Services | Counselor | 1540 Highway 138 Se Ste 2k, Conyers, GA 30013-1297 | 2020-06-18 |
| 1588286827 | Christopher James Mcclendon | Counselor | 2514 Lennox Rd Se, Conyers, GA 30094-2028 | 2020-05-09 |
| 1962038240 | Tricia Daniels | Counselor | 1175 Green Street, Se, Conyers, GA 30012-3001 | 2020-03-18 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1477044311 | Camille Antoinett Colson | Counselor | 2890 Georgia Highway 212 Sw Ste A-319, Conyers, GA 30094-3363 | 2018-05-27 |
| 1811493497 | Tiffany Jones | Counselor | 922 Court St Ne Ofc 103, Conyers, GA 30012-4540 | 2018-04-03 |
| 1841791944 | Vipp Counseling Services, LLC | Counselor | 903 Commercial St Ne Ste 203, Conyers, GA 30012-4553 | 2018-02-23 |
| 1619476330 | Keinetha Camille Powers | Counselor | 1396 Travers Creek Trl, Conyers, GA 30012-3584 | 2018-02-08 |
| 1831648468 | Teresa Anderson | Counselor | 1414 Steam Engine Way Ne, Conyers, GA 30013-1594 | 2016-09-23 |
| 1497108328 | Tamika Hibbert | Counselor | 1825 Regents Way, Conyers, GA 30094-3390 | 2016-07-15 |
| Find all providers in CONYERS | ||||
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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.