Provider Demographics
NPI:1851075600
Name:LITTLE, SASHA (LPC)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:LITTLE
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 1:28 E NEWNAN RD UNIT E
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2465
Mailing Address - Country:US
Mailing Address - Phone:404-862-3877
Mailing Address - Fax:
Practice Address - Street 1:28 E NEWNAN RD UNIT E
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-2465
Practice Address - Country:US
Practice Address - Phone:404-862-3877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013995101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health