BOUNDLESS LOVE PSYCHOTHERAPY LLC NPI 1588253280

NPI Information

  • NPI: 1588253280
  • Provider Name: BOUNDLESS LOVE PSYCHOTHERAPY, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Other Name: SUZETT D. BLOUNT
  • Address: 34 STEEPLE CHASE TRL
    DALLAS, GA
    ZIP 30132
  • Phone: (470) 985-6858

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NPI Details

BOUNDLESS LOVE PSYCHOTHERAPY, LLC is a professional counselor in Dallas, GA. BOUNDLESS LOVE PSYCHOTHERAPY, LLC NPI is 1588253280. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Suzett D. Blount.

The provider's business location address is:

34 STEEPLE CHASE TRL
DALLAS, GA
ZIP 30132-305
Phone: (470) 985-6858
Fax: (678) 669-1898

The provider's authorized official is Suzette Delicia Williams .
The authorized official title is Professional Counselor and has the following contact phone number (678) 250-6026.

The enumeration date for this NPI number is 1/16/2021 and was last updated on 12/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes
2251S00000XCommunity/Behavioral HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1011523OTHERGEORGIALPC
21942823901MEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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