Provider Demographics
NPI:1619305778
Name:SAJID, NEELOFAR (LPC)
Entity Type:Individual
Prefix:
First Name:NEELOFAR
Middle Name:
Last Name:SAJID
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 1:5739 ORCHARD PLACE XING SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-6587
Mailing Address - Country:US
Mailing Address - Phone:770-639-9825
Mailing Address - Fax:470-219-5683
Practice Address - Street 1:3782 LAWRENCEVILLE HWY
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5507
Practice Address - Country:US
Practice Address - Phone:770-639-9825
Practice Address - Fax:470-219-5683
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-28
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006629101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional