- Practice location
- 169 Dempsey Ave Ste 3, Jackson, GA 30233-2019
- Phone
- 401-889-4673
- Fax
- —
- Last updated
- February 28, 2024
Clyde William Sandford is a Counselor, Professional based in Jackson, GA. Clyde William Sandford practices in Jackson, GA and has the professional credentials of LPC. The NPI Number for Clyde William Sandford is 1316176860 and holds a License No. LPC011574 (GA). The current practice location address for Clyde William Sandford is 169 Dempsey Ave Ste 3, Jackson, GA 30233-2019 and can be reached out via phone at 401-889-4673.
Provider Profile Details
- NPI Number
- 1316176860
- Provider Name
- Clyde William Sandford
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 169 Dempsey Ave Ste 3, Jackson, GA 30233-2019
- Phone Number
- 401-889-4673
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2009
- Last Update Date
- February 28, 2024
- Certification Date
- February 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 169 Dempsey Ave Ste 3
Jackson, GA 30233-2019 - City
- Jackson
- State
- Georgia
- Zip
- 30233-2019
- Phone Number
- 401-889-4673
Provider Business Mailing Address Details
- Address
- Po Box 703
Jackson, GA 30233-0014 - City
- Jackson
- State
- GA
- Zip
- 30233-0014
- Phone Number
- 603-801-9392
License Information
- License Number (1)
- LPC011574
- License State (1)
- GA
- Taxonomy (1)
- Marriage & Family Therapist · 106H00000X
- License Number (2)
- LPC011574
- License State (2)
- GA
- Taxonomy (2)
- Counselor · 101Y00000X
- License Number (3)
- LPC011574
- License State (3)
- GA
- Taxonomy (3)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (4)
- LPC011574
- License State (4)
- GA
- Taxonomy (4)
- Counselor, Mental Health · 101YM0800X
- License Number (5)
- LPC011574
- License State (5)
- GA
- Taxonomy (5)
- Counselor, Pastoral · 101YP1600X
- License Number (6)
- LPC011574
- License State (6)
- GA
- Taxonomy (6)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Jackson, GA
View all Counselor, Professional providers in Jackson →Frequently Asked Questions
What is the NPI number of Clyde W Sandford, LPC?
The NPI number of Clyde W Sandford, LPC is 1316176860. It was assigned on July 6, 2009 and is currently active in the NPPES registry.
What is the specialty of Clyde W Sandford, LPC?
Clyde W Sandford, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in GA under license number LPC011574.
Where does Clyde W Sandford, LPC practice?
The practice location is 169 Dempsey Ave Ste 3, Jackson, GA 30233-2019. The office can be reached at 401-889-4673 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316176860 directly on the NPPES registry website.