Provider Demographics
NPI:1528136553
Name:SEALES, LENNOX G (LPC)
Entity type:Individual
Prefix:MR
First Name:LENNOX
Middle Name:G
Last Name:SEALES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 COMMERCIAL DR
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3628
Mailing Address - Country:US
Mailing Address - Phone:912-352-9902
Mailing Address - Fax:912-352-9960
Practice Address - Street 1:315 COMMERCIAL DR
Practice Address - Street 2:SUITE B-3
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3628
Practice Address - Country:US
Practice Address - Phone:912-352-9902
Practice Address - Fax:912-352-9960
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002856101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)