Provider Demographics
NPI:1659032381
Name:CULPEPPER, SARAH (LPC-MHSP (TEMP))
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CULPEPPER
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 MARYLAND WAY STE 310
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1049
Mailing Address - Country:US
Mailing Address - Phone:615-601-0766
Mailing Address - Fax:
Practice Address - Street 1:5205 MARYLAND WAY STE 310
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1049
Practice Address - Country:US
Practice Address - Phone:615-601-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health