Healthcare Provider Details

I. General information

NPI: 1093653040
Provider Name (Legal Business Name): SARAH HOLMES SMALLWOOD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

768 HIGHWAY 123
TOCCOA GA
30577-8686
US

IV. Provider business mailing address

PO BOX D
TOCCOA GA
30577-1448
US

V. Phone/Fax

Practice location:
  • Phone: 706-244-5159
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC016376
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: