Provider Demographics
NPI:1164859773
Name:LEWIS, SARAH ANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANNE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4376 LANKFORD HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EXMORE
Mailing Address - State:VA
Mailing Address - Zip Code:23350-2308
Mailing Address - Country:US
Mailing Address - Phone:757-442-6746
Mailing Address - Fax:757-442-6749
Practice Address - Street 1:4376 LANKFORD HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:EXMORE
Practice Address - State:VA
Practice Address - Zip Code:23350-2308
Practice Address - Country:US
Practice Address - Phone:757-442-6746
Practice Address - Fax:757-442-6749
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005593101YP2500X
MDLC5016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional