Provider Demographics
NPI:1477196764
Name:LEE, SABRINA ALICIA (PHD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:ALICIA
Last Name:LEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 LONDON LN
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-1749
Mailing Address - Country:US
Mailing Address - Phone:678-378-0874
Mailing Address - Fax:
Practice Address - Street 1:235 LONDON LN
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:GA
Practice Address - Zip Code:30277-1749
Practice Address - Country:US
Practice Address - Phone:678-378-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-20
Last Update Date:2019-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10012813OtherGEORGIA CHRISTIAN COUNSELORS AND THERAPIST