Healthcare Provider Details

I. General information

NPI: 1154296978
Provider Name (Legal Business Name): SARAH ASBURY CAUSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 VINEVILLE AVE
MACON GA
31204-2406
US

IV. Provider business mailing address

2635 STANISLAUS CIR
MACON GA
31204-2849
US

V. Phone/Fax

Practice location:
  • Phone: 843-303-0771
  • Fax:
Mailing address:
  • Phone: 843-303-0771
  • 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: