Provider Demographics
NPI:1811300262
Name:ALLEYNE, SARAH (LPCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MONGEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:356 BASSETT AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1542
Mailing Address - Country:US
Mailing Address - Phone:859-797-1139
Mailing Address - Fax:
Practice Address - Street 1:225 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:KY
Practice Address - Zip Code:40380-3014
Practice Address - Country:US
Practice Address - Phone:606-612-5090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1646101YM0800X
KYLPCPCC00222191101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health