NPI 1881169852 · live from the CMS NPI Registry
Susannah Bales, LMFT
Marriage & Family Therapist in Scottdale, GA. National Provider Identifier 1881169852, active.
NPI record
| NPI | 1881169852 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3033 N Decatur Rd, Scottdale, GA 30079 |
| Practice phone | 404-354-4026 |
| Enumerated | October 5, 2018 |
| Last updated | August 25, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT001646 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.