Provider Demographics
NPI:1194562033
Name:ROBLES, SARAH A (APC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:ROBLES
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1426
Mailing Address - Country:US
Mailing Address - Phone:678-699-8129
Mailing Address - Fax:
Practice Address - Street 1:202 HEBRON CHURCH RD
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-2168
Practice Address - Country:US
Practice Address - Phone:678-699-8129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC008862101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health