Kootsikas, Sandra Renee
Kootsikas, Sandra Renee is an individual health care provider with primary practice located at 1105 W Peachtree St Nw , Atlanta GA 30309-3608. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kootsikas, Sandra Renee can be contacted via phone (678) 472-1820.Contact Information
Primary practice address
1105 W Peachtree St Nw
Atlanta GA 30309-3608
Phone: (678) 472-1820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC002570 | Georgia |
Profile Details
| NPI number | 1013110501 |
|---|---|
| LBN Legal business name | Kootsikas, Sandra Renee |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013110501 | NPPES |
| Georgia | Other | 251S0000X | ORGANIZATION TAXONOMY COD |
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