Provider Demographics
NPI:1447599642
Name:EDDLEMAN, SARAH LUNSFORD (MMFT, LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LUNSFORD
Last Name:EDDLEMAN
Suffix:
Gender:F
Credentials:MMFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CROSSVINE WAY
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-6848
Mailing Address - Country:US
Mailing Address - Phone:864-539-4432
Mailing Address - Fax:864-448-1523
Practice Address - Street 1:106 W GEORGIA RD
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-2302
Practice Address - Country:US
Practice Address - Phone:864-539-4432
Practice Address - Fax:864-448-1523
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4597101YM0800X, 106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health