Provider Demographics
NPI:1265978795
Name:OMAR, SARAH HOLLAND (LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HOLLAND
Last Name:OMAR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 NW 98TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2524
Mailing Address - Country:US
Mailing Address - Phone:919-636-0933
Mailing Address - Fax:
Practice Address - Street 1:2208 NW MARKET ST STE 316A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4049
Practice Address - Country:US
Practice Address - Phone:919-636-0933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-08
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60571415101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health