Organization Name: | SARAH ADDISON, LLC |
NPI Number: | 1730327495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH ADDISON (OWNER) |
Mailing Address: | 5415 Thompson Mill Rd Hoschton |
State: | GA US |
Postal Code: | 305484132 |
Phone Number: | 6782315557 |
Fax Number: | 7068500899 |
NPI Enumeration Date: | 02/03/2009 |
NPI Last Update Date: | 02/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC004890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |