Provider Demographics
NPI:1457016420
Name:QUINN, SARAH (LPCA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:CASTEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:556 MEMORIAL DRIVE EXT STE A
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1154
Mailing Address - Country:US
Mailing Address - Phone:864-828-2300
Mailing Address - Fax:
Practice Address - Street 1:556 MEMORIAL DRIVE EXT STE A
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1154
Practice Address - Country:US
Practice Address - Phone:864-828-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 225C00000X
SC7836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor