Provider Demographics
NPI:1134486335
Name:SANSING, DEBRA N (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:N
Last Name:SANSING
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 THORNCLIFF LNDG
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-2656
Mailing Address - Country:US
Mailing Address - Phone:404-516-2299
Mailing Address - Fax:770-974-2060
Practice Address - Street 1:85 GOLF CREST DR
Practice Address - Street 2:SUITE 309
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-2698
Practice Address - Country:US
Practice Address - Phone:404-516-2299
Practice Address - Fax:770-974-2060
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006506101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional