Provider Demographics
NPI:1659511178
Name:FARNABY, SARAH (PSYD, LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FARNABY
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 COLUMBIA RD NW STE 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2031
Mailing Address - Country:US
Mailing Address - Phone:202-506-3240
Mailing Address - Fax:202-506-1601
Practice Address - Street 1:1316 KING ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2994
Practice Address - Country:US
Practice Address - Phone:202-506-3240
Practice Address - Fax:202-506-1601
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006674101Y00000X
DCPRC13807101YP2500X
MDLC2113101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor