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NPI Code Detail

MEDICARE: MS. SANDRA SWEETING-TELSY LMHC, LPC

MEDICARE: MS. SANDRA SWEETING-TELSY LMHC, 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
1101YM0800XMental Health CounselorMH20502FL
2101YM0800XMental Health CounselorLPC013944GA

General Provider Information

NPI Number : 1730433723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA SWEETING-TELSY LMHC, LPC
Provider Business Mailing Address
First Line : 3100 INTERSTATE NORTH CIR SE STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2384
Country : US
Telephone Number : 678-638-2628
Fax Number :
Provider Business Practice Location Address
First Line : 3100 INTERSTATE NORTH CIR SE STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2384
Country : US
Telephone Number : 678-638-2628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2012
Last Update Date : 01/05/2024

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