Healthcare Provider Details

I. General information

NPI: 1679493886
Provider Name (Legal Business Name): TELAI ANALISE SHARPE LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 PACES FERRY RD SE BLDG 2
ATLANTA GA
30339-4053
US

IV. Provider business mailing address

3034 BEDROCK DR
VILLA RICA GA
30180-3422
US

V. Phone/Fax

Practice location:
  • Phone: 404-991-2638
  • Fax:
Mailing address:
  • Phone: 706-233-1942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: