Provider Demographics
NPI:1861262701
Name:SUZANNE LAFAUCE LCPC, LLC
Entity type:Organization
Organization Name:SUZANNE LAFAUCE LCPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFAUCE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-327-0375
Mailing Address - Street 1:10301 STRATHMORE HALL ST APT 209
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-6684
Mailing Address - Country:US
Mailing Address - Phone:301-327-0375
Mailing Address - Fax:
Practice Address - Street 1:10301 STRATHMORE HALL ST APT 209
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-6684
Practice Address - Country:US
Practice Address - Phone:301-327-0375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty