Provider Demographics
NPI:1528886512
Name:SAPP, MIKAILA
Entity type:Individual
Prefix:
First Name:MIKAILA
Middle Name:
Last Name:SAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 MERDIAN STREET
Mailing Address - Street 2:GRADUATE SOCIAL WORK, BUCHANAN HALL, SUITE 124
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4900 MERDIAN STREET
Practice Address - Street 2:GRADUATE SOCIAL WORK, BUCHANAN HALL, SUITE 124
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35762
Practice Address - Country:US
Practice Address - Phone:616-780-7288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker