RUSS SANDERS L.P.C. - NPI 1104100437 - Counselor in Roswell, GA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Russ Sanders L.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSS SANDERS L.P.C. (NPI 1104100437) is an individual professional provider in Roswell, Georgia, licensed in Georgia (LPC006428) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1104100437

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameRUSS SANDERSCredential: L.P.C.

Location Address1902 MACY DRRoswell, GA 30076-6339

Mailing Address1902 Macy DrRoswell, GA 30076-6339 · (706) 498-0323

Phone(706) 498-0323

Sole ProprietorYes

Enumeration DateOctober 5, 2011

✔ NPI 1104100437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC006428

1902 MACY DR, Roswell, GA 30076

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Other Names 1

Professional Name (2)Mr. Russ Sanders

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DARIUS ENTESARY LPC

Counselor (Mental Health)