Susan Carol Duke, LPCI

Individual provider Active NPI Mental Health Counselor · Sunnyvale, TX

NPI 1174733901 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174733901
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
62109 (TX)
Practice address
2862 N Belt Line Rd
Sunnyvale, TX 75182-9388
Phone
(972) 698-8478
Fax
(972) 698-8469
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
62109TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Encouragers, Inc. Mental Health Past Accepting new patients
Anesthesia Care, P.a. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 62109 TX Yes

Addresses

Primary practice location

2862 N Belt Line Rd
Sunnyvale, TX 75182-9388

Mailing address

109 Toler Dr
Mesquite, TX 75149-5866
Phone (214) 498-6322

Other providers in Sunnyvale, TX

All providers in Sunnyvale, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.