Provider Demographics
NPI:1740708577
Name:SANCHEZ, CHARLOTTE MICHELLE (LPC AND EDDPSY)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:MICHELLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LPC AND EDDPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8109 ARBOR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-2021
Mailing Address - Country:US
Mailing Address - Phone:706-442-4332
Mailing Address - Fax:706-683-8716
Practice Address - Street 1:7413 WHITESVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3227
Practice Address - Country:US
Practice Address - Phone:706-442-4332
Practice Address - Fax:706-683-8716
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional