Provider Demographics
NPI:1225597818
Name:CARTER, SARAH YOLANDA (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:YOLANDA
Last Name:CARTER
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 1:250 CORPORATE CENTER CT
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6388
Mailing Address - Country:US
Mailing Address - Phone:770-389-8100
Mailing Address - Fax:678-782-6622
Practice Address - Street 1:820 BROOKSTONE CENTRE PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9246
Practice Address - Country:US
Practice Address - Phone:706-653-2889
Practice Address - Fax:706-494-8220
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010767101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional