Provider Demographics
NPI:1164965901
Name:BETTS, SABRINA (CPRP, ICADC, SAP)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:BETTS
Suffix:
Gender:F
Credentials:CPRP, ICADC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 CAROL PL
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-7312
Mailing Address - Country:US
Mailing Address - Phone:704-661-3327
Mailing Address - Fax:877-564-4386
Practice Address - Street 1:8735 DUNWOODY PL STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:704-661-3327
Practice Address - Fax:877-564-4386
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH178924OtherOHIO CHEMICAL DEPENDENCY PROFESSIONAL BOARD
GA1127OtherCADC