Provider Demographics
NPI:1164934105
Name:DAVIS, SARAH H (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:H
Last Name:DAVIS
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 1:8479 SAINT ANTHONYS RD
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-3408
Mailing Address - Country:US
Mailing Address - Phone:540-775-9879
Mailing Address - Fax:540-371-3753
Practice Address - Street 1:8479 SAINT ANTHONYS RD
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-3408
Practice Address - Country:US
Practice Address - Phone:540-775-9879
Practice Address - Fax:540-371-3753
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional