Provider Demographics
NPI:1174179535
Name:MCFATTER, SARAH ALLISON (PLMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ALLISON
Last Name:MCFATTER
Suffix:
Gender:F
Credentials:PLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 139
Mailing Address - Street 2:
Mailing Address - City:SAINT MARTINVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70582-0139
Mailing Address - Country:US
Mailing Address - Phone:337-394-8310
Mailing Address - Fax:
Practice Address - Street 1:7084 CEMETARY HWY
Practice Address - Street 2:
Practice Address - City:SAINT MARTINVILLE
Practice Address - State:LA
Practice Address - Zip Code:70582-7900
Practice Address - Country:US
Practice Address - Phone:337-394-8310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPROVISIONAL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist