Organization
BOUNDLESS LOVE PSYCHOTHERAPY, LLC
Active
Other names
Suzett D. Blount, Suzette D. Blount
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZETTE DELICIA WILLIAMS LPC (PROFESSIONAL COUNSELOR)
(678) 250-6026
Entity
Organization
Contact information
Practice address
34 STEEPLE CHASE TRL, DALLAS, GA 30132-8305
(470) 985-6858
(678) 669-1898
Mailing address
34 STEEPLE CHASE TRL, DALLAS, GA 30132-8305
(470) 985-6858
(678) 669-1898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011523
LPC
GA
05
—
1942823901
—
GA
Enumeration date
01/16/2021
Last updated
12/25/2024
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