Provider Demographics
NPI:1366825846
Name:LUNEAU, SARA JANE (LCMHC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:JANE
Last Name:LUNEAU
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:LUNEAU-SWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC
Mailing Address - Street 1:2998 SWEET HOLLOW ROAD
Mailing Address - Street 2:
Mailing Address - City:SHELDON
Mailing Address - State:VT
Mailing Address - Zip Code:05483-8421
Mailing Address - Country:US
Mailing Address - Phone:802-598-1616
Mailing Address - Fax:
Practice Address - Street 1:186 SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05464
Practice Address - Country:US
Practice Address - Phone:802-598-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0090868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1366825846OtherGREEN MOUNTAIN CARE - VERMONT MEDICAID PROVIDER
VT1366825846OtherBLUE CROSS BLUE SHIELD OF VERMONT
VT701102317Medicaid