| Cathy Sutton Lcsw Llc | |
|
300 Broadway Ave Braselton GA 30517 | |
| (217) 474-6892 | |
| (706) 824-1870 |
| Full Name | Cathy Sutton Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 Broadway Ave, Braselton, Georgia |
| Authorized Official Name and Position | Cathy Sutton (PROVIDER) |
| Authorized Official Contact | 2174746892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathy Sutton Lcsw Llc 4631 Windcroft Cir Hoschton GA 30548-3484 Ph: (217) 474-6892 | Cathy Sutton Lcsw Llc 300 Broadway Ave Braselton GA 30517 Ph: (217) 474-6892 |
| NPI Number | 1467973115 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 2062777972 |
|---|---|
| Medicare Enrollment ID | O20180524001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467973115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW005489 (Georgia) | Primary |
| Provider Name | Cathy S Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699153403 PECOS PAC ID: 8123338894 Enrollment ID: I20151109001734 |
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