Provider Demographics
NPI:1184395329
Name:JAMES, SARAH (MA, LCMHC, LCAS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MA, LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 GRASSY KNOB RD
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-5303
Mailing Address - Country:US
Mailing Address - Phone:304-951-4728
Mailing Address - Fax:
Practice Address - Street 1:500 WINDING GAP RD
Practice Address - Street 2:
Practice Address - City:LAKE TOXAWAY
Practice Address - State:NC
Practice Address - Zip Code:28747-8786
Practice Address - Country:US
Practice Address - Phone:800-975-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23934101YA0400X
NC13545101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC23934OtherNORTH CAROLINA ADDICTIONS SPECIALIST PROFESSIONAL PRACTICE BOARD
NC13545OtherNORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS