Provider Demographics
NPI:1164229084
Name:HUSING, SUZANYA VAUGHN (LPC)
Entity type:Individual
Prefix:
First Name:SUZANYA
Middle Name:VAUGHN
Last Name:HUSING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 QUENTIN RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7424
Mailing Address - Country:US
Mailing Address - Phone:717-954-3189
Mailing Address - Fax:
Practice Address - Street 1:2394 NEW HOLLAND PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-5934
Practice Address - Country:US
Practice Address - Phone:717-656-4834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018263101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional