Provider Demographics
NPI:1790396786
Name:ZIPFEL, SARAH (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:ZIPFEL
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 1:6167 TALMADGE RUN NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-9500
Mailing Address - Country:US
Mailing Address - Phone:404-989-6465
Mailing Address - Fax:
Practice Address - Street 1:3950 COBB PKWY NW STE 604
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-9530
Practice Address - Country:US
Practice Address - Phone:404-989-6465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC0011377101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC011377OtherGA COMPOSITE BOARD