Provider Demographics
NPI:1194044909
Name:LAWRENCE, SARAH JUDITH (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JUDITH
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JUDITH
Other - Last Name:LICHTENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:208 FLYNN AVE STE 3J
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5420
Mailing Address - Country:US
Mailing Address - Phone:802-488-6920
Mailing Address - Fax:802-488-6919
Practice Address - Street 1:1138 PINE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5353
Practice Address - Country:US
Practice Address - Phone:802-488-6600
Practice Address - Fax:802-488-6919
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1477101YP2500X
VT068.0117128101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional