Provider Demographics
NPI:1124273008
Name:SUGGS, DENISE MESCHELLE (MED, LPC, BCPCC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MESCHELLE
Last Name:SUGGS
Suffix:
Gender:F
Credentials:MED, LPC, BCPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 ASH WOOD LN
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-6660
Mailing Address - Country:US
Mailing Address - Phone:678-283-4553
Mailing Address - Fax:
Practice Address - Street 1:266 ASH WOOD LN
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-6660
Practice Address - Country:US
Practice Address - Phone:678-283-4553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional