Provider Demographics
NPI:1891267225
Name:HILBERT, SARAH (CAADC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HILBERT
Suffix:
Gender:F
Credentials:CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 KLONDIKE RD SW STE 403
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-5173
Mailing Address - Country:US
Mailing Address - Phone:404-333-7725
Mailing Address - Fax:678-609-0592
Practice Address - Street 1:1506 KLONDIKE RD SW STE 403
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-5173
Practice Address - Country:US
Practice Address - Phone:404-333-7725
Practice Address - Fax:678-609-0592
Is Sole Proprietor?:No
Enumeration Date:2018-12-24
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAC0203101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)