Provider Demographics
NPI:1073215430
Name:LEDBETTER, SARAH B (MS)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:B
Last Name:LEDBETTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 RIVERSIDE DR # B
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-1435
Mailing Address - Country:US
Mailing Address - Phone:901-288-9364
Mailing Address - Fax:
Practice Address - Street 1:2525C LEBANON PIKE STE 203
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2418
Practice Address - Country:US
Practice Address - Phone:901-288-9364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health