MEDICARE: SUSAN L MARSHALL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LPC006714	GA

General Provider Information

NPI Number	:	1598906315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN L MARSHALL LPC

Provider Business Mailing Address
First Line	:	PO BOX 564
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-0010
Country	:	US
Telephone Number	:	706-443-5433
Fax Number	:	844-843-2957

Provider Business Practice Location Address
First Line	:	1200 WASHINGTON ST
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30240-4939
Country	:	US
Telephone Number	:	706-443-5433
Fax Number	:	844-843-2957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2009
Last Update Date	:	03/11/2026

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Directions to “ SUSAN L MARSHALL LPC” Practice Location

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