Suzan Mills Gage
Individual provider Active NPI Mental Health Counselor · Chipley, FL
NPI 1487425948 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1487425948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- IMH25246 (FL)
- Practice address
- 626 5TH St
Chipley, FL 32428-1428 - Phone
- (850) 693-0808
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH25246 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH25246 | FL | Yes |
Addresses
Primary practice location
626 5TH St
Chipley, FL 32428-1428
Mailing address
626 5TH St
Chipley, FL 32428-1428
Phone (850) 693-0808
Other providers in Chipley, FL
- Florida Woman Care, LLC
- Alison Tate Freeman
- Dawn Rene Frost
- Melissa Dawn Fuller
- Taylor Brooke Fuller
- William Mark Garney
- Mallory Gay
- Geri-Care Assisted Living & Rehabilitative Center
- Norma B Gilo
- Debra M Grande
All providers in Chipley, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.