MEDICARE: STEPHANIE SHEETS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC016507	GA
2	101YM0800X	Mental Health Counselor	APC009661	GA

General Provider Information

NPI Number	:	1194517920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE SHEETS LPC

Provider Business Mailing Address
First Line	:	500 BUFORD HWY APT 1206
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-7790
Country	:	US
Telephone Number	:	678-510-6078
Fax Number	:

Provider Business Practice Location Address
First Line	:	3611 BRASELTON HWY STE 102
Second Line	:
City	:	DACULA
State	:	GA
Zip	:	30019-4672
Country	:	US
Telephone Number	:	678-280-1390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	03/16/2026

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Directions to “ STEPHANIE SHEETS LPC” Practice Location

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