Provider Demographics
NPI:1457771610
Name:SAPP, KARLA LA'TOYA (LPC, LMHC)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:LA'TOYA
Last Name:SAPP
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13175 E OGLETHORPE HWY
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:GA
Mailing Address - Zip Code:31320-4208
Mailing Address - Country:US
Mailing Address - Phone:912-662-0918
Mailing Address - Fax:
Practice Address - Street 1:13175 E OGLETHORPE HWY
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:GA
Practice Address - Zip Code:31320-4208
Practice Address - Country:US
Practice Address - Phone:912-980-6049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006883101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional