Provider Demographics
NPI:1104194141
Name:LIVERMORE, SARAH E (MA MFTI)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:LIVERMORE
Suffix:
Gender:F
Credentials:MA MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23461 S POINTE DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1547
Mailing Address - Country:US
Mailing Address - Phone:949-855-1556
Mailing Address - Fax:
Practice Address - Street 1:31882 CAMINO CAPISTRANO
Practice Address - Street 2:SUITE 108
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3222
Practice Address - Country:US
Practice Address - Phone:949-487-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health