Sara Anderson, LPC
Individual provider Active NPI Professional Counselor · Bremen, GA
NPI 1285886333 · NPPES record last updated Jul 1, 2014
Key facts
- NPI
- 1285886333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0004510 (GA)
- Practice address
- 124 Buchanan St N
Bremen, GA 30110-1606 - Phone
- (770) 328-0746
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004510 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0004510 | GA | Yes |
Addresses
Primary practice location
124 Buchanan St N
Bremen, GA 30110-1606
Mailing address
PO Box 422
Tallapoosa, GA 30176-0422
Phone (770) 328-0746
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- Ambucare, LLC
- Jennifer Austin
- Axiom Chiropractic LLC
- Olawale Adedamola Babalola
- Ansley Marie Bair
- Terri Barger
All providers in Bremen, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.