Provider Demographics
NPI:1396489670
Name:ATKINSON, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 1ST ST N STE 250
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-9071
Mailing Address - Country:US
Mailing Address - Phone:205-624-2422
Mailing Address - Fax:
Practice Address - Street 1:224 1ST ST N STE 250
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-9071
Practice Address - Country:US
Practice Address - Phone:205-624-2422
Practice Address - Fax:205-624-3091
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-23
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health