Provider Demographics
NPI:1497246888
Name:CORRY, SARA LEHR (MA, LMHC, CCTP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LEHR
Last Name:CORRY
Suffix:
Gender:F
Credentials:MA, LMHC, CCTP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:L
Other - Last Name:CORRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:5211 N. BRUMMETTS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47408
Mailing Address - Country:US
Mailing Address - Phone:812-272-8060
Mailing Address - Fax:
Practice Address - Street 1:2325 Q ST.
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421
Practice Address - Country:US
Practice Address - Phone:812-279-4673
Practice Address - Fax:812-279-4672
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0081291101YA0400X
NM0126551101YP2500X, 101YM0800X
IN39003435A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional