SUZANNE SOUDERS LCSW PLLC (NPI# 1164073813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164073813 |
| Entity Type | Organization |
| Organization Name | SUZANNE SOUDERS LCSW PLLC |
| Practice Address |
25 Office Park Dr Ste 2 Kilmarnock VA 22482-2805 |
| Mailing Address |
Po Box 1663 Kilmarnock VA 22482-1663 |
| Practice Telephone | 8045770186 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | M SUZANNE SOUDERS (OWNER) |
| Authorized Official Telephone | 8045770186 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Suzanne Souders LCSW PLLC | 25 Office Park Dr Ste 2, Kilmarnock, Virginia 22482 |
| Street Address |
25 OFFICE PARK DR STE 2 |
| City | KILMARNOCK |
| State | VA |
| Zip Code | 22482-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629485115 | Northern Neck Life Consultants, Pllc | Social Worker | 25 Office Park Dr Ste 2, Kilmarnock, VA 22482-2805 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124798 | Katie Lynn Willis | Pharmacist | 573 N. Main Street, Kilmarnock, VA 22482 | 2020-08-14 |
| 1912423294 | Janet Lee Gilbert | Speech-Language Pathologist | 41 Noblett Lane, Kilmarnock, VA 22482 | 2017-08-17 |
| 1376096602 | John Michael Massaro | Physician Assistant | 51 Willliam B. Graham Court, Kilmarnock, VA 22482 | 2016-08-03 |
| 1629325287 | Ruth Marion Harris | Registered Nurse | 51 Harris Road, Kilmarnock, VA 22482 | 2012-08-13 |
| 1194995621 | Chesapeake Medical Group | Family Medicine | 86 Harris Road, Kilmarnock, VA 22482 | 2008-03-12 |
| 1104096882 | Kimberly A. Stout | Audiologist | 45 N. Main Street, Kilmarnock, VA 22482 | 2008-03-10 |
| 1487824603 | M Suzanne Souders | Social Worker | 113 Dmv Drive, Kilmarnock, VA 22482 | 2008-03-04 |
| 1770773673 | Vikas Maan Md, Pllc | Preferred Provider Organization | 117 Irvington Road, Kilmarnock, VA 22482 | 2007-07-26 |
| 1306050661 | Bay Internists, Inc. | Internal Medicine | 107 Dept of Motor Vehicle Drive, Kilmarnock, VA 22482 | 2007-05-09 |
| 1790908978 | Daphne Papaefthimiou | Dentist | 508 Irvington Rd, Kilmarnock, VA 22482 | 2007-04-10 |
| Find all providers in zip 22482 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635972 | Richmond Traveler Taxi | Clinic/Center | 9808 Woodman Rd, Henrico, VA 23228-1339 | 2020-10-06 |
| 1265046700 | Guan Yuan Pllc | Clinic/Center | 7008 Catlett St, Springfield, VA 22151-3901 | 2020-09-02 |
| 1831711902 | Charlottesville Hyperbarics Corp | Clinic/Center | 925-a E Jefferson St, Charlottesville, VA 22902-5573 | 2020-05-12 |
| 1417579889 | Health Bridge, LLC | Clinic/Center | 4198 Cox Rd Ste 102, Glen Allen, VA 23060-3328 | 2020-05-08 |
| 1851924088 | First Light Clinic LLC | Clinic/Center | 706 Campbell Ave Sw, Roanoke, VA 24016-3534 | 2020-02-17 |
| 1912537440 | B's Integrated Clinic, Pllc | Clinic/Center | 501 Rison St Ste 100, Danville, VA 24541-2426 | 2020-01-23 |
| 1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
| 1104461896 | Lung Specialists of Tidewater Pllc | Clinic/Center | 224 Avonlea Pointe, Chesapeake, VA 23322-4279 | 2019-11-17 |
| 1053952846 | Mediluxe | Clinic/Center | 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 | 2019-10-02 |
| 1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | KILMARNOCK |
| Zip Code | 22482 |
Please comment or provide details below to improve the information on SUZANNE SOUDERS LCSW PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.