Provider Demographics
NPI:1376314542
Name:CANTRELL, SARAH E (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:CANTRELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:PARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:857 HARLAN DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-3004
Mailing Address - Country:US
Mailing Address - Phone:270-313-3546
Mailing Address - Fax:
Practice Address - Street 1:857 HARLAN DR
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-3004
Practice Address - Country:US
Practice Address - Phone:270-313-3546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional