Provider Demographics
NPI:1245107325
Name:CAMEL, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CAMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-4830
Mailing Address - Country:US
Mailing Address - Phone:219-663-1507
Mailing Address - Fax:219-662-4349
Practice Address - Street 1:5235 E 121ST AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46307-8311
Practice Address - Country:US
Practice Address - Phone:219-663-1507
Practice Address - Fax:219-662-4349
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1583050103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool