Sara Bolton, LPC
Individual provider Active NPI Professional Counselor · Ringgold, GA
NPI 1346853579 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1346853579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC009870 (GA)
- Practice address
- 399 Creeks Jewell Dr
Ringgold, GA 30736-6761 - Phone
- (423) 635-3146
- NPI assigned
- Aug 27, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009870 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC009870 | GA | Yes |
Addresses
Primary practice location
399 Creeks Jewell Dr
Ringgold, GA 30736-6761
Mailing address
399 Creeks Jewell Dr
Ringgold, GA 30736-6761
Other providers in Ringgold, GA
- Alyssa Bilbrey
- Richard Tanner Black
- Roger Byron Blair
- Ashley Dye Blevins
- Whitney Lauren Boehm
- Angel Bono
- Brandy Lee Borne
- Taylor Bosheers
- Boynton Ridge Operations, LLC
- Sara Bradford
All providers in Ringgold, 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 Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.