Provider Demographics
NPI:1720564313
Name:VAN HOOK, SARAH LOUISE (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:VAN HOOK
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:PO BOX 11121
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72917-1121
Mailing Address - Country:US
Mailing Address - Phone:479-274-1017
Mailing Address - Fax:
Practice Address - Street 1:1706 E JOYCE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5249
Practice Address - Country:US
Practice Address - Phone:479-274-1017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional