Provider Demographics
NPI:1023888690
Name:MCNEILL, SARAH NASH (MS, LPAC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:NASH
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:MS, LPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-8203
Mailing Address - Country:US
Mailing Address - Phone:336-653-7388
Mailing Address - Fax:
Practice Address - Street 1:2910 WOODHAVEN DR
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-8203
Practice Address - Country:US
Practice Address - Phone:336-653-7388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional