Healthcare Provider Details

I. General information

NPI: 1336270073
Provider Name (Legal Business Name): SUSAN LEIGH ARGO MS, LPC,MHSP, MAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 8TH ST
CLARKSVILLE TN
37040-3093
US

IV. Provider business mailing address

304 REVERE RD
CLARKSVILLE TN
37043-5337
US

V. Phone/Fax

Practice location:
  • Phone: 931-920-7200
  • Fax:
Mailing address:
  • Phone: 931-221-2269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1627
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: