Organization
SUSAN K KAUFFMAN LMHC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K KAUFFMAN LMHC (OWNER)
(941) 780-4192
Entity
Organization
Contact information
Practice address
146 DEPOT ST STE 202, BLUE RIDGE, GA 30513-8503
(941) 780-4192
Mailing address
PO BOX 1157, MC CAYSVILLE, GA 30555-1157
(941) 780-4192
(706) 964-6111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH2837
FL
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003217124B
—
GA
05
—
003266024A
—
GA
Enumeration date
09/02/2011
Last updated
07/09/2022
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