Organization Active NPI

Mildred Lisa Patzer LPC Inc

  • Professional Counselor
  • Suwanee, GA
National Provider Identifier
1891952131
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC1638 Issued in GA
Legal business name
MILDRED LISA PATZER LPC INC
Practice address
5400 Laurel Springs Pkwy
Suite 1101
Suwanee, GA 30024-6056
Phone
(678) 849-5286
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mildred Lisa Patzer, LPC
Title
Principal
Phone
(678) 849-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC1638 GA Primary

Addresses

Primary practice location

5400 Laurel Springs Pkwy
Suite 1101
Suwanee, GA 30024-6056

Mailing address

5400 Laurel Springs Pkwy
Suite 1101
Suwanee, GA 30024-6056
Phone (678) 849-5286

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1891952131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 1101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "678-849-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 1101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "678-849-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED LISA PATZER LPC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PATZER",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "678-849-5286",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 22, 2008; 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.