Provider Demographics
NPI:1831760537
Name:HAFNER, SARAH (LPC-MHSP (TEMP))
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HAFNER
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 GERMANTOWN CT STE 200
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4268
Mailing Address - Country:US
Mailing Address - Phone:901-646-0098
Mailing Address - Fax:
Practice Address - Street 1:57 GERMANTOWN CT STE 200
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4268
Practice Address - Country:US
Practice Address - Phone:901-646-0098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-05
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health