Active NPI
Laurie Lancaster Patrice, LPC
- Counselor
- Suwanee, GA
National Provider Identifier
1831247352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3972
- Practice address
- 3455 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-6425 - Phone
- (770) 634-3285
- Fax
- (404) 201-2103
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3972 | GA | Primary |
Addresses
Primary practice location
3455 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-6425
Mailing address
3455 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-6425
Phone (770) 634-3285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266292119A | Medicaid | GA |
Other names 1
- Laurie Patrice Wells
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3972 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1831247352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 LAWRENCEVILLE SUWANEE RD",
"address_2": "SUITE A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246425",
"telephone_number": "770-634-3285",
"fax_number": "404-201-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LAWRENCEVILLE SUWANEE RD",
"address_2": "SUITE A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246425",
"telephone_number": "770-634-3285",
"fax_number": "404-201-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICE",
"first_name": "LAURIE",
"middle_name": "LANCASTER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "3972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266292119A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "WELLS",
"middle_name": "PATRICE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.