Sumrall, Sierra Magnolia

Sumrall, Sierra Magnolia is an individual health care provider with primary practice located at 2336 Wisteria Dr Ste 440 , Snellville GA 30078-6160. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Sumrall, Sierra Magnolia can be contacted via phone (770) 733-1469.

Contact Information

Primary practice address
2336 Wisteria Dr Ste 440 Snellville GA 30078-6160
Phone: (770) 733-1469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ALC04310 Alabama
Behavioral Health & Social Service Providers / Counselor 101Y00000X APC008018 Georgia

Profile Details

NPI number 1669124343
LBN Legal business name Sumrall, Sierra Magnolia
Credentials LAPC, ALC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2022
Last updated Jun 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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