Provider Demographics
NPI:1114180502
Name:ASUMAA, SASHA LEWIS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SASHA
Middle Name:LEWIS
Last Name:ASUMAA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 JOHNSON FERRY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2727
Mailing Address - Country:US
Mailing Address - Phone:404-216-1135
Mailing Address - Fax:
Practice Address - Street 1:1225 JOHNSON FERRY RD STE 170
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2727
Practice Address - Country:US
Practice Address - Phone:404-216-1135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional