MR. JUSTIN SUDDETH M.A. LPCI
NPI 1609302355
Counselor - Mental Health in Lexington, SC
Active since May 02, 2017
About Mr. Justin Suddeth M.a. Lpci NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN SUDDETH M.A. LPCI (NPI 1609302355) is an individual mental health provider in Lexington, South Carolina, licensed in South Carolina (6518) and active in the NPI registry since May 2017.
NPPES Registry Identity
NPI1609302355
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JUSTIN SUDDETHCredential: M.A. LPCI
Location Address108 PALMETTO PARK BLVDLexington, SC 29072-7968
Mailing Address108 Palmetto Park BlvdLexington, SC 29072-7968 · (803) 996-1500
Phone(803) 996-1500
Sole ProprietorNo
Enumeration DateMay 2, 2017
✔ NPI 1609302355 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in SC · 6518✔ Licensed in OH · C.1500441
108 PALMETTO PARK BLVD, Lexington, SC 29072
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Cardiovascular Disease)
108 PALMETTO PARK BLVD, STE D
LEXINGTON, SC 29072
LEXINGTON, SC 29072
Dentist (Endodontics)
108 PALMETTO PARK BLVD, SUITE F
LEXINGTON, SC 29072
LEXINGTON, SC 29072
Physical Therapist
108 PALMETTO PARK BLVD, STE B
LEXINGTON, SC 29072
LEXINGTON, SC 29072
Nurse Practitioner (Acute Care)
108 PALMETTO PARK BLVD, SUITE C
LEXINGTON, SC 29072
LEXINGTON, SC 29072
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609302355, enumerated as an "individual" on May 02, 2017.
The provider is located at 108 PALMETTO PARK BLVD LEXINGTON, SC 29072 and the phone number is (803) 996-1500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.