Provider Demographics
NPI:1811175276
Name:PHILBECK, SARAH NANTZ (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:NANTZ
Last Name:PHILBECK
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 WALLACE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-8325
Mailing Address - Country:US
Mailing Address - Phone:704-480-6046
Mailing Address - Fax:
Practice Address - Street 1:621A S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5807
Practice Address - Country:US
Practice Address - Phone:704-692-0723
Practice Address - Fax:704-837-2022
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6870101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional