Provider Demographics
NPI:1184204604
Name:MCPHILLIPS, SARAH ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:MCPHILLIPS
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 1:2215 HUALAPAI MOUNTAIN RD STE F-I
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-8324
Mailing Address - Country:US
Mailing Address - Phone:928-753-9387
Mailing Address - Fax:928-753-9404
Practice Address - Street 1:2215 HUALAPAI MOUNTAIN RD STE F-I
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-8324
Practice Address - Country:US
Practice Address - Phone:928-753-9387
Practice Address - Fax:928-753-9404
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional