Williams, Suzette Delicia

Williams, Suzette Delicia is an sole proprietor health care provider with primary practice located at 147 Forrest Park Ln , Dallas GA 30157-9667. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Williams, Suzette Delicia can be contacted via phone (470) 985-6858.

Contact Information

Primary practice address
147 Forrest Park Ln Dallas GA 30157-9667
Phone: (470) 985-6858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC011523 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC011523 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC011523 Georgia

Profile Details

NPI number 1942823901
LBN Legal business name Williams, Suzette Delicia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2020
Last updated Dec 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942823901 NPPES
Georgia Other LPC011523 LICENSE

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