Provider Demographics
NPI:1194517920
Name:SHEETS, STEPHANIE (APC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SHEETS
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BUFORD HWY APT 1206
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-7790
Mailing Address - Country:US
Mailing Address - Phone:678-510-6078
Mailing Address - Fax:
Practice Address - Street 1:3611 BRASELTON HWY STE 102
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-4672
Practice Address - Country:US
Practice Address - Phone:678-280-1390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health