Provider Demographics
NPI:1609066059
Name:MAXWELL, SONJA F (PSYD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:F
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 N POINT PKWY
Mailing Address - Street 2:SUITE 33
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1142
Mailing Address - Country:US
Mailing Address - Phone:678-554-5632
Mailing Address - Fax:770-645-2588
Practice Address - Street 1:5755 N POINT PKWY
Practice Address - Street 2:SUITE 33
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1142
Practice Address - Country:US
Practice Address - Phone:678-554-5632
Practice Address - Fax:770-645-2588
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001253106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist