Provider Demographics
NPI:1942480884
Name:ALTMAN, SARAH B (LPC,LCAS,CCS,NCC,MAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:LPC,LCAS,CCS,NCC,MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 BRENDLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2213
Mailing Address - Country:US
Mailing Address - Phone:828-369-1380
Mailing Address - Fax:
Practice Address - Street 1:342 BRENDLE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2213
Practice Address - Country:US
Practice Address - Phone:828-369-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC701101YA0400X
NC716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103765Medicaid
NC6103765Medicaid