Provider Demographics
NPI:1891264586
Name:TOLSON, SABRINA C (MS, ST, LPC)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:C
Last Name:TOLSON
Suffix:
Gender:F
Credentials:MS, ST, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 MEADOWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-1445
Mailing Address - Country:US
Mailing Address - Phone:404-484-3445
Mailing Address - Fax:
Practice Address - Street 1:2300 W PARK PL
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-6713
Practice Address - Country:US
Practice Address - Phone:678-330-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-25
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional