Provider Demographics
NPI:1295369627
Name:SARA HUNTER COUNSELING LLC
Entity Type:Organization
Organization Name:SARA HUNTER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:217-972-4014
Mailing Address - Street 1:208 GRAND RAPIDS LN
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-5965
Mailing Address - Country:US
Mailing Address - Phone:217-972-4014
Mailing Address - Fax:
Practice Address - Street 1:6201 W MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062-6870
Practice Address - Country:US
Practice Address - Phone:618-208-1690
Practice Address - Fax:618-772-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1336770841OtherNPI TYPE 1