SUTHERLAND PSYCHOTHERAPY ASSOCIATES, LLC


Address: 4989 Peachtree Pkwy Ste 220, Norcross, GA 30092-2589
Phone: 7702462588

SUTHERLAND PSYCHOTHERAPY ASSOCIATES, LLC (NPI# 1881928216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881928216
Entity Type Organization
Organization Name SUTHERLAND PSYCHOTHERAPY ASSOCIATES, LLC
Practice Address 4989 Peachtree Pkwy Ste 220
Norcross
GA 30092-2589
Practice Telephone 7702462588
Practice Fax Number 7702480537
Mailing Telephone 7702462588
Mailing Fax Number 7702480537
Enumeration Date 2009-10-02
Last Update Date 2009-10-02
Authorized Official Name LISA C BRYAN (OWNER)
Authorized Official Telephone 7702462588
Authorized Official Credential LPC,NCC,MED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3514 GA Behavioral Health & Social Service Providers

Office Location

Street Address 4989 PEACHTREE PKWY STE 220
City NORCROSS
State GA
Zip Code 30092-2589

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013517465 Tequila Olivia Banks Counselor 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 2020-10-27
1720558836 Annie Mcfadden Counselor 4652 Sagemont Ct, Norcross, GA 30093-4768 2018-12-01
1669975009 Jamilah Tetterton Counselor 4006 Holcomb Bridge Rd Ste 210, Norcross, GA 30092-1814 2018-03-12
1467993345 Boris Mcguire Day Counselor 3597 Monticello Commons, Norcross, GA 30092 2017-03-13
1356792519 Tiffany Pope Counselor 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 2016-06-28
1295185742 Kateece Freeman Counselor 6082 Tennyson Park Way, Norcross, GA 30092-3378 2016-06-15
1093186231 Brave Tomorrow Counseling and Consulting Counselor 4121 Steve Reynolds Blvd Ste 202, Norcross, GA 30093-3060 2015-10-14
1326451667 Melissa Brown Counselor 6015 Atlantic Blvd, Norcross, GA 30071-1343 2014-06-04
1275806382 Miriam Del Carmen Gomez Counselor 5855 Jimmy Carter Blvd Ste 170, Norcross, GA 30071-4610 2012-02-21
1417230038 Donna Marie Wade Counselor 5696 Peachtree Pkwy, Norcross, GA 30092-2855 2011-09-20
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Competitor

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City NORCROSS
Zip Code 30092

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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.

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