Provider Demographics
NPI:1114212420
Name:EVANS, SARAH FAITH (LCPC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:FAITH
Last Name:EVANS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9014 ROCK LEDGE CT
Mailing Address - Street 2:#302
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-7039
Mailing Address - Country:US
Mailing Address - Phone:443-797-4307
Mailing Address - Fax:443-352-4201
Practice Address - Street 1:22 W PADONIA RD
Practice Address - Street 2:SUITE C-252
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-2226
Practice Address - Country:US
Practice Address - Phone:410-561-1114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral