Provider Demographics
NPI:1215592852
Name:CORDELL, SARA (LPC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:CORDELL
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 1:4708 BELLE DR APT D
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2265
Mailing Address - Country:US
Mailing Address - Phone:260-466-6906
Mailing Address - Fax:
Practice Address - Street 1:824 ELMWOOD PARK BLVD
Practice Address - Street 2:NATIONAL CHILD AND FAMILY SERVICES
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123
Practice Address - Country:US
Practice Address - Phone:504-266-2576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA6187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator