Provider Demographics
NPI:1225206097
Name:PRENDERGAST, SARAH CLELL (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CLELL
Last Name:PRENDERGAST
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2225 ENTERPRISE DR
Mailing Address - Street 2:SUITE 2515
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5814
Mailing Address - Country:US
Mailing Address - Phone:708-223-8405
Mailing Address - Fax:708-223-0197
Practice Address - Street 1:2225 ENTERPRISE DR
Practice Address - Street 2:SUITE 2515
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5814
Practice Address - Country:US
Practice Address - Phone:708-223-8405
Practice Address - Fax:708-223-0197
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009848101YP2500X
IL178010166101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional