Provider Demographics
NPI:1629823125
Name:FARIAS, SARAI (LMFT)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:
Last Name:FARIAS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 RIDGELAND AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2725
Mailing Address - Country:US
Mailing Address - Phone:708-317-5926
Mailing Address - Fax:708-637-4316
Practice Address - Street 1:2600 RIDGELAND AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2725
Practice Address - Country:US
Practice Address - Phone:708-317-5926
Practice Address - Fax:708-637-4316
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001740106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist