Healthcare Provider Details

I. General information

NPI: 1851146310
Provider Name (Legal Business Name): JULIET A SINGLETARY, MA, LPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1586 MAPLE RIDGE DR
SUWANEE GA
30024-2075
US

IV. Provider business mailing address

PO BOX 1282
SUWANEE GA
30024-0038
US

V. Phone/Fax

Practice location:
  • Phone: 678-336-6797
  • Fax: 470-819-3756
Mailing address:
  • Phone: 678-336-6797
  • Fax: 470-819-3756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JULIET ANN SINGLETARY
Title or Position: OWNER/PROVIDER
Credential: LPC
Phone: 678-336-6797