MEDICARE: MS. SIDNEY ALEXANDRIA MINOR MS, LPC, NCC

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	106E00000X	Assistant Behavior Analyst
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor	LPC014479	GA

General Provider Information

NPI Number	:	1619563202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SIDNEY ALEXANDRIA MINOR MS, LPC, NCC

Provider Business Mailing Address
First Line	:	130 TRINITY AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3626
Country	:	US
Telephone Number	:	404-802-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 TRINITY AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3626
Country	:	US
Telephone Number	:	404-802-3500
Fax Number	:

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

Provider Enumeration Date	:	12/17/2020
Last Update Date	:	04/04/2024

Similar Medicare Providers

1912072711 — ATLANTA PUBLIC SCHOOLS
Practice Location Address:

130 TRINITY AVE SW
ATLANTA, GA
30303-3626

Practice Phone: 404-802-2638
Practice Fax:

1730722935 — MRS. ROSE OMEIRE SLP
Practice Location Address:

130 TRINITY AVE SW
ATLANTA, GA
30303-3626

Practice Phone: 404-802-3500
Practice Fax:

1568493906 — WILLIE WALTER WHITED LCSW
Practice Location Address:

1650 ADAMS DR SW
ATLANTA, GA
30311-3626

Practice Phone: 678-772-5677
Practice Fax: 404-344-4275

1467467738 — WALGREEN CO
Practice Location Address:

3892 ATLANTA HWY
MONTGOMERY, AL
36109-3626

Practice Phone: 334-270-0757
Practice Fax: 334-270-9046

1821161381 — DR. JAMES CHARLES HOVIS D.C.
Practice Location Address:

3516 CLAIRMONT RD NE
ATLANTA, GA
30319-3626

Practice Phone: 404-636-3869
Practice Fax:

1023535432 — MARYFRANCES BROWN PHARMD, MPH
Practice Location Address:

3892 ATLANTA HWY
MONTGOMERY, AL
36109-3626

Practice Phone: 334-270-0757
Practice Fax:

Directions to “ MS. SIDNEY ALEXANDRIA MINOR MS, LPC, NCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.