Provider Demographics
NPI:1073904421
Name:RODWAY, SABRINA (LPCA,LCAS-A)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:
Last Name:RODWAY
Suffix:
Gender:F
Credentials:LPCA,LCAS-A
Other - Prefix:MS
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:RODWAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-A
Mailing Address - Street 1:2949 NEW BERN AVE STE 110B
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1248
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2949 NEW BERN AVE STE 110B
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1248
Practice Address - Country:US
Practice Address - Phone:919-307-6573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12482101YM0800X
NC21488-A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)