MEDICARE: SADE STOKES LCPC

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
1	101Y00000X	Counselor	180.017806	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225747561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADE STOKES LCPC

Provider Business Mailing Address
First Line	:	1756 CENTURY BLVD NE STE B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3389
Country	:	US
Telephone Number	:	312-248-2531
Fax Number	:

Provider Business Practice Location Address
First Line	:	1756 CENTURY BLVD NE STE B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3389
Country	:	US
Telephone Number	:	312-248-2531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2022
Last Update Date	:	01/17/2026

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Directions to “ SADE STOKES LCPC” Practice Location

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