Provider Demographics
NPI:1235777178
Name:BETTS, SARAH GOOSS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:GOOSS
Last Name:BETTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:TRICH
Other - Last Name:GOOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20124 COLLINS MILL DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19933-4326
Mailing Address - Country:US
Mailing Address - Phone:434-420-2452
Mailing Address - Fax:
Practice Address - Street 1:1330 MIDDLEFORD RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3648
Practice Address - Country:US
Practice Address - Phone:434-420-2452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000957101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health