Provider Demographics
NPI:1669154084
Name:SANCTUARY COUNSELING AND WELLNESS
Entity type:Organization
Organization Name:SANCTUARY COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:GOFF
Authorized Official - Last Name:MCCRORY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, RPT
Authorized Official - Phone:334-625-9060
Mailing Address - Street 1:7956 VAUGHN RD # 313
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-6817
Mailing Address - Country:US
Mailing Address - Phone:334-265-9060
Mailing Address - Fax:
Practice Address - Street 1:493 WHITETAIL TRL
Practice Address - Street 2:
Practice Address - City:HOPE HULL
Practice Address - State:AL
Practice Address - Zip Code:36043-5532
Practice Address - Country:US
Practice Address - Phone:334-625-9060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)