Provider Demographics
NPI:1790464816
Name:SPASOJEVICH, SARAHBETH S (LPC-R)
Entity Type:Individual
Prefix:
First Name:SARAHBETH
Middle Name:S
Last Name:SPASOJEVICH
Suffix:
Gender:F
Credentials:LPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11112 BENJAMIN PL
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-2768
Mailing Address - Country:US
Mailing Address - Phone:757-663-8895
Mailing Address - Fax:
Practice Address - Street 1:11112 BENJAMIN PL
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-2768
Practice Address - Country:US
Practice Address - Phone:757-663-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704015620101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health