Provider Demographics
NPI:1043606585
Name:SARAH BICKEL
Entity Type:Organization
Organization Name:SARAH BICKEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC, NCC, CCTP
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:814-923-1152
Mailing Address - Street 1:2500 PALERMO DRIVE, ERIE, PA, USA
Mailing Address - Street 2:
Mailing Address - City:CAUCASIAN
Mailing Address - State:PA
Mailing Address - Zip Code:16506-3205
Mailing Address - Country:US
Mailing Address - Phone:814-860-3179
Mailing Address - Fax:814-616-7400
Practice Address - Street 1:2500 PALERMO DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-7206
Practice Address - Country:US
Practice Address - Phone:814-860-3179
Practice Address - Fax:814-616-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-11
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005107101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty