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Clyde William Sandford

Counselor Pastoral Counselor Professional Counselor Mental Health Counselor and 1 more

1944 Brannan Rd
McDonough , Georgia 30253-4310

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Counselor
  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Pastoral Counselor
  • Professional Counselor

Languages spoken

  • English

Location

1944 Brannan Rd McDonough , Georgia 30253-4310

First Address

  • Clyde William Sandford
  • 1944 Brannan Rd
  • Mcdonough, GA
  • Zip : 30253-4310
  • Phone : (678) 289-6981

Second Address

  • Clyde William Sandford
  • 1944 Brannan Rd
  • Mcdonough, GA
  • Zip : 30253-4310
  • Phone : (678) 289-6981

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FAQs


Where did Clyde William Sandford attend graduate school?

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Where did Clyde William Sandford do his residency?

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Where did Clyde William Sandford do his fellowship?

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Is Clyde William Sandford board certified?

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What type of doctor is Clyde William Sandford

Professional Counselor

In what state does Clyde William Sandford practice in?

Georgia

Where is Clyde William Sandford ’s practice located?

1944 Brannan Rd , McDonough, Georgia, 30253-4310

What is Clyde William Sandford ’s gender?

Male

Is Clyde William Sandford a sole practitioner?

No

Is Clyde William Sandford accepting new patients?

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What languages does Clyde William Sandford speak?

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Does Clyde William Sandford accept insurance?

Yes, Clyde William Sandford accepts insurance

Does Clyde William Sandford offers telemedicine?

Clyde William Sandford has not indicated if he offers telemedicine

What is Clyde William Sandford ’s professional license number?

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What is Clyde William Sandford ’s NPI number?

1316176860

Does Clyde William Sandford have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101Y00000X Counselor LPC011574 GA
N 101YA0400X Addiction Counselor (Substance Use Disorder) LPC011574 GA
N 101YM0800X Mental Health Counselor LPC011574 GA
N 101YP1600X Pastoral Counselor LPC011574 GA
Y 101YP2500X Professional Counselor LPC011574 GA

National Provider Identifier

NPI 1316176860
Provider Name Clyde William Sandford
First Address Mcdonough, GA 30253-4310
Second Address Mcdonough, GA 30253-4310
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/07/2009
Last Update Date 07/07/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
81263595 (05) NH

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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