Provider Demographics
NPI:1235416413
Name:LORD, SARAH J
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:J
Last Name:LORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 OLDE COLONY TRL APT 14
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-6227
Mailing Address - Country:US
Mailing Address - Phone:864-506-5724
Mailing Address - Fax:
Practice Address - Street 1:8500 OLDE COLONY TRL APT 14
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-6227
Practice Address - Country:US
Practice Address - Phone:864-506-5724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health