Provider Demographics
NPI:1801066444
Name:PATTERSON-MILLS, SARAH MARIE (MA/LPC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARIE
Last Name:PATTERSON-MILLS
Suffix:
Gender:F
Credentials:MA/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WOODARD DR
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-5739
Mailing Address - Country:US
Mailing Address - Phone:314-229-6416
Mailing Address - Fax:314-977-2199
Practice Address - Street 1:520 WOODARD DR
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-5739
Practice Address - Country:US
Practice Address - Phone:314-229-6416
Practice Address - Fax:314-977-2199
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001009457101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional