Sutherland Psychotherapy Associates, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3514 Issued in GA

Legal business name

SUTHERLAND PSYCHOTHERAPY ASSOCIATES, LLC

Practice address

4989 Peachtree Pkwy Ste 220
Norcross, GA 30092-2589

Phone

(770) 246-2588

Fax

(770) 248-0537

NPI assigned

Oct 2, 2009

Organization subpart

No

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

Authorized official

Name

Lisa C Bryan, LPC,NCC,MED

Title

Owner

Phone

(770) 246-2588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1881928216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PKWY STE 220",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922589",
            "telephone_number": "770-246-2588",
            "fax_number": "770-248-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PKWY STE 220",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922589",
            "telephone_number": "770-246-2588",
            "fax_number": "770-248-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTHERLAND PSYCHOTHERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-246-2588",
        "authorized_official_credential": "LPC,NCC,MED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Norcross, GA
• Providers in Norcross, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.