Provider Demographics
NPI:1609421825
Name:JEAN-PIERRE, SOPHIA ALEXIS (LPC)
Entity Type:Individual
Prefix:MS
First Name:SOPHIA
Middle Name:ALEXIS
Last Name:JEAN-PIERRE
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 1:900 CIRCLE 75 PKWY SE STE 1435
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3905
Mailing Address - Country:US
Mailing Address - Phone:404-877-2807
Mailing Address - Fax:
Practice Address - Street 1:900 CIRCLE 75 PKWY SE STE 1435
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3905
Practice Address - Country:US
Practice Address - Phone:404-877-2807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013554101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor