Healthcare Provider Details

I. General information

NPI: 1851747141
Provider Name (Legal Business Name): JANET LYNN SEXTON MATTHEWS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANET SEXTON

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 04/22/2020
Certification Date: 04/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 HIGHWAY 34 E
SHARPSBURG GA
30277-3531
US

IV. Provider business mailing address

115 EASTFIELD CT
FAYETTEVILLE GA
30215-8214
US

V. Phone/Fax

Practice location:
  • Phone: 404-960-1282
  • Fax: 855-817-2428
Mailing address:
  • Phone: 404-542-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW007006
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: