Provider Demographics
NPI:1518331370
Name:JOY, SARA ANN (LMHC, CDP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:JOY
Suffix:
Gender:F
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 186TH AVE E
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPPS
Mailing Address - State:WA
Mailing Address - Zip Code:98391-6465
Mailing Address - Country:US
Mailing Address - Phone:253-335-8009
Mailing Address - Fax:
Practice Address - Street 1:1612 186TH AVE E
Practice Address - Street 2:
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-6465
Practice Address - Country:US
Practice Address - Phone:253-335-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60396734101YA0400X
WACP60840254101YA0400X
WALH60955958101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1518331370OtherPRIVATE INSURANCE
WA1518331370Medicaid