Doctor Name: | DR. KARLA LA'TOYA SAPP |
NPI Number: | 1457771610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, CCMHC, MAC, LPC |
License Number: | LPC006883 |
Business Practice Address: | 13175 E Oglethorpe Hwy Midway, GA - 313204208 |
Business Phone Number: | 9129806049 |
Business Fax Number: | |
Mailing Address: | 13175 E Oglethorpe Hwy, MIDWAY |
State: | GA |
Postal Code: | 313204208 |
Phone Number: | 9129806049 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2014 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC006883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |