Individual
DR. SANDRA IVELISSE SOSA-CARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, NCC, LMHC, LPC
Contact information
Practice address
150 GARDEN WALK, STOCKBRIDGE, GA 30281-7324
(404) 759-8484
Mailing address
4613 CORSAGE DR, LUTZ, FL 33558-9212
(404) 759-8484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25330
FL
101YP2500X
Professional Counselor
LPC008058
GA
101YS0200X
School Counselor
1245617
FL
101YS0200X
School Counselor
772021
GA
Other
Enumeration date
10/31/2014
Last updated
04/30/2025
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