Provider Demographics
NPI:1679732713
Name:SIMPSON, SHERRY C (MA,LPC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:C
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 PEACHTREE RD NE OFC 1860
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1000
Mailing Address - Country:US
Mailing Address - Phone:678-231-0613
Mailing Address - Fax:404-601-7446
Practice Address - Street 1:BEL ESPRIT PSYCHOTHERAPY & CONSULTATION, LLC
Practice Address - Street 2:3340 PEACHTREE ROAD, OFFICE 1860
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326
Practice Address - Country:US
Practice Address - Phone:678-231-0613
Practice Address - Fax:404-601-7446
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003946101YP2500X
GALPC3946101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA563316409AMedicaid