Provider Demographics
NPI:1326747841
Name:SAWYER, SIDNEY AARON III (MA, ALC)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:AARON
Last Name:SAWYER
Suffix:III
Gender:M
Credentials:MA, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BRADFORD CIR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-6124
Mailing Address - Country:US
Mailing Address - Phone:256-221-5456
Mailing Address - Fax:
Practice Address - Street 1:115 FAIRGROUND RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1283
Practice Address - Country:US
Practice Address - Phone:256-712-2822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health