Provider Demographics
NPI:1861829939
Name:HENRY, SARAH AUSTIN (LPC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:AUSTIN
Last Name:HENRY
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:AUSTIN
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCAS
Mailing Address - Street 1:1108 E 10TH ST APT 2E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-3706
Mailing Address - Country:US
Mailing Address - Phone:910-612-6388
Mailing Address - Fax:
Practice Address - Street 1:1108 E 10TH ST APT 2E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-3706
Practice Address - Country:US
Practice Address - Phone:910-612-6388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1887101YA0400X
NCA8585101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)