Healthcare Provider Details

I. General information

NPI: 1790396786
Provider Name (Legal Business Name): SARAH ZIPFEL MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 COBB PKWY NW STE 604
ACWORTH GA
30101-9530
US

IV. Provider business mailing address

6167 TALMADGE RUN NW
ACWORTH GA
30101-9500
US

V. Phone/Fax

Practice location:
  • Phone: 404-989-6465
  • Fax:
Mailing address:
  • Phone: 404-989-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0011377
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: