Provider Demographics
NPI:1477071413
Name:FERGUSON, SARAH ROESCH (LPC/MHSP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ROESCH
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 HILLSBORO PIKE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215
Mailing Address - Country:US
Mailing Address - Phone:615-274-8400
Mailing Address - Fax:
Practice Address - Street 1:1200 DIVISION ST STE 405
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4495
Practice Address - Country:US
Practice Address - Phone:615-274-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL275101YM0800X
NY13066101YM0800X
WA61395487101YM0800X
VT068.0134700TELE101YM0800X
MA13305101YM0800X
VA701013880101YM0800X
TN4823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health