The Sutherland Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC004159 Issued in GA

Legal business name

THE SUTHERLAND CENTER, LLC

Practice address

4200 Reserve Hill Xing
Douglasville, GA 30135-5188

Phone

(770) 853-6372

Fax

(888) 399-2597

NPI assigned

Jul 28, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alvin C Sutherland Jr., ED. D, LPC, NCCNPI 1023298908

Title

Owner

Phone

(770) 853-6372

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alvin C Sutherland, LCSW

  • Professional Counselor
  • Suwanee, GA
  • NPI 1023298908
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1265817530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6686",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301540029",
            "telephone_number": "770-853-6372",
            "fax_number": "888-399-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 RESERVE HILL XING",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355188",
            "telephone_number": "770-853-6372",
            "fax_number": "888-399-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUTHERLAND CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-853-6372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ED. D, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.