Susan Allen Booth, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001259 Issued in GA

Practice address

3312 Apple Valley Rd
Commerce, GA 30529-4111

Phone

(706) 202-2986

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1578817581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 APPLE VALLEY RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305294111",
            "telephone_number": "706-202-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 APPLE VALLEY RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305294111",
            "telephone_number": "706-202-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "SUSAN",
        "middle_name": "ALLEN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Benford, LCSW
• BJC Medical Emergency Physicians, LLC
• Mildaly Blanco, PHARMD
• Allison Blathford, RN
• Donn Blencowe, DC
• Bountiful Hills Assisted Living
• Jennifer Kelley Brannen, CCC-SLP
• Starling Kenneth Bridges, LPC
• Daeshanae Brock, LMFT
• Melissa Brown, MED, CCC-SLP

• Marriage & Family Therapist in Commerce, GA
• Providers in Commerce, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.