Provider Demographics
NPI:1073927661
Name:CONNOR, SARAH STANWOOD (MA, LPC-S)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:STANWOOD
Last Name:CONNOR
Suffix:
Gender:F
Credentials:MA, LPC-S
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:STANWOOD
Other - Last Name:BROOKINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1444 ALFORD AVE
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3130
Mailing Address - Country:US
Mailing Address - Phone:937-206-2125
Mailing Address - Fax:
Practice Address - Street 1:2025 SHADY CREST DR STE 203
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5417
Practice Address - Country:US
Practice Address - Phone:659-599-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007486101YP2500X
ALLPC3557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional