Healthcare Provider Details

I. General information

NPI: 1639093594
Provider Name (Legal Business Name): LORI SUGGS AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2264 HWY 41S
GREENBRIER TN
37073
US

IV. Provider business mailing address

PO BOX 32
GREENBRIER TN
37073-0032
US

V. Phone/Fax

Practice location:
  • Phone: 615-519-3076
  • Fax:
Mailing address:
  • Phone: 615-519-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3075
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: