Suzanne Una Watts, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007158 Issued in GA

Practice address

3505 Veterans Memorial Hwy
Suite 5B
Lithia Springs, GA 30122-1460

Phone

(678) 288-6261

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Suzanne Una Earl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1780932152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 5B",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221460",
            "telephone_number": "678-288-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 5B",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221460",
            "telephone_number": "678-288-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "SUZANNE",
        "middle_name": "UNA",
        "name_prefix": "Mrs.",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "EARL",
            "middle_name": "UNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.