Healthcare Provider Details

I. General information

NPI: 1689520892
Provider Name (Legal Business Name): HANNAH E SANFORD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZA SANFORD LPC

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8041 LINFIELD WAY
SANDY SPRINGS GA
30350-5060
US

IV. Provider business mailing address

8041 LINFIELD WAY
SANDY SPRINGS GA
30350-5060
US

V. Phone/Fax

Practice location:
  • Phone: 334-596-5566
  • Fax:
Mailing address:
  • Phone: 334-596-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC016095
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: