Provider Demographics
NPI:1821331661
Name:SANDERS, SARA (LPCC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 US HWY 41N
Mailing Address - Street 2:UNIT E #175
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-1385
Mailing Address - Country:US
Mailing Address - Phone:270-883-1502
Mailing Address - Fax:270-297-7272
Practice Address - Street 1:2202 US HIGHWAY 41 N STE E
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2399
Practice Address - Country:US
Practice Address - Phone:270-883-1502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY164085101YP2500X, 101YP2500X
KYLPCPCC00218315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional