Provider Demographics
NPI:1699784017
Name:SUGGS, LYNN B (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:B
Last Name:SUGGS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 N FOSTER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-4568
Mailing Address - Country:US
Mailing Address - Phone:334-446-0600
Mailing Address - Fax:334-479-8484
Practice Address - Street 1:188 N FOSTER ST STE 201
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-4568
Practice Address - Country:US
Practice Address - Phone:334-446-0600
Practice Address - Fax:334-479-8484
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2154101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional