Provider Demographics
NPI:1457854499
Name:FLINT, SARAH ANN (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:FLINT
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:MCCAUSLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, ALC, NCC
Mailing Address - Street 1:2119 AUTUMN RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36879-4639
Mailing Address - Country:US
Mailing Address - Phone:817-304-1404
Mailing Address - Fax:
Practice Address - Street 1:1120 AIRPORT DR STE 201
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3445
Practice Address - Country:US
Practice Address - Phone:817-304-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3835101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty