Sarah Sistrunk, LPC, MAC | |
1010 Summer Cypress Dr, Villa Rica, GA 30180-6979 | |
(404) 408-5592 | |
Not Available |
Full Name | Sarah Sistrunk |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1010 Summer Cypress Dr, Villa Rica, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306454624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 007897 (Georgia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Mailing Address | Practice Location Address |
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Sarah Sistrunk, LPC, MAC 1010 Summer Cypress Dr, Villa Rica, GA 30180-6979 Ph: (404) 408-5592 | Sarah Sistrunk, LPC, MAC 1010 Summer Cypress Dr, Villa Rica, GA 30180-6979 Ph: (404) 408-5592 |
Denard Fenaud, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Greatwood Ln, Villa Rica, GA 30180 Phone: 772-408-3907 Fax: 678-855-6715 | |
Allyson Moffatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3530 | |
Lisa Junger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr Ste 103a, Villa Rica, GA 30180 Phone: 770-812-8863 | |
Ms. April Monique Mcconico, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 | |
Sharrisse Noelle El Amrani, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr, Villa Rica, GA 30180 Phone: 770-812-3411 | |
Deanna Henley, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Woods Walk Apt 1201, Villa Rica, GA 30180 Phone: 334-740-5670 | |
Mr. Richard Brent Wadsworth Jr., LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr Ste 201, Villa Rica, GA 30180 Phone: 770-812-3839 |