# LAKE GUNTERSVILLE COUNSELING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578205050
- **Authorized official:** SUSAN BECHERT MSW, LICSW (OWNER/SOLE MEMBER)
- **Authorized official phone:** (256) 506-4308

## Contact information

- **Practice address:** 1724 GUNTER AVE STE B, GUNTERSVILLE, AL 35976-1822
- **Practice address phone:** (256) 506-4308
- **Mailing address:** 1724 GUNTER AVE STE B, GUNTERSVILLE, AL 35976-1822
- **Mailing address phone:** (256) 506-4308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2022
- **Last updated:** 04/13/2022