Provider Demographics
NPI:1700051539
Name:CHAPMAN, SARAH T (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:T
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BILLINGSLEY ROAD
Mailing Address - Street 2:CHEMICAL DEPENDENCY CENTER
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211
Mailing Address - Country:US
Mailing Address - Phone:704-376-8783
Mailing Address - Fax:704-376-2172
Practice Address - Street 1:100 BILLINGSLEY ROAD
Practice Address - Street 2:CHEMICAL DEPENDENCY CENTER
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211
Practice Address - Country:US
Practice Address - Phone:704-376-8783
Practice Address - Fax:704-376-2172
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5388101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional