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NPI Code Detail

MEDICARE: SARAH HOLMES SMALLWOOD LPC

MEDICARE: SARAH HOLMES SMALLWOOD LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC016376GA

General Provider Information

NPI Number : 1093653040
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HOLMES SMALLWOOD LPC
Provider Business Mailing Address
First Line : PO BOX D
Second Line :
City : TOCCOA
State : GA
Zip : 30577-1448
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 768 HIGHWAY 123
Second Line :
City : TOCCOA
State : GA
Zip : 30577-8686
Country : US
Telephone Number : 706-244-5159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 05/04/2026

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Directions to “ SARAH HOLMES SMALLWOOD LPC” Practice Location

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