Organization
SAGE COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TUFFORD M.A., LPC (CEO)
(404) 226-5255
Entity
Organization
Contact information
Practice address
1690 STONE VILLAGE LN NW STE 602, KENNESAW, GA 30152-7777
(770) 218-9005
Mailing address
1690 STONE VILLAGE LN NW STE 602, KENNESAW, GA 30152-7777
(770) 954-8127
(844) 289-6710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007587
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427326057
PERSONAL NPI
GA
Enumeration date
01/20/2015
Last updated
10/06/2023
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