MEDICARE: SARAH PARRIOTT HIGHTOWER

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	251S00000X	Community/Behavioral Health Agency	LPC008497	GA

General Provider Information

NPI Number	:	1346611019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH PARRIOTT HIGHTOWER

Provider Business Mailing Address
First Line	:	1885 WINDING CROSSING TRL
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-1274
Country	:	US
Telephone Number	:	404-428-4114
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 SEMINOLE AVE NE STE 106
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-3411
Country	:	US
Telephone Number	:	404-428-4114
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SARAH HIGHTOWER
Credential	:	LPC
Telephone Number	:	404-428-4114

Provider Enumeration Date	:	10/07/2015
Last Update Date	:	10/07/2015

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