Provider Demographics
NPI:1730394347
Name:MCKAY, SANDRA (BSN, LMFT)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:MCKAY
Suffix:
Gender:F
Credentials:BSN, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 PEACHTREE INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 233
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8180
Mailing Address - Country:US
Mailing Address - Phone:678-777-1037
Mailing Address - Fax:
Practice Address - Street 1:1810 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 233
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-8180
Practice Address - Country:US
Practice Address - Phone:678-777-1037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist