Search › Georgia › 101YP2500X
Sandtrice Russell, LPC
NPI 1578007803 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7117 Walton Hl
Fairburn, GA 30213 - Phone
- (404) 924-5560
- Organisation at this address
- Unique Destiny Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
101YM0800X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia