Provider Demographics
NPI:1881068948
Name:TRUEBLOOD, SARAH MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:TRUEBLOOD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 FERGUSON STREET
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220
Mailing Address - Country:US
Mailing Address - Phone:317-819-8337
Mailing Address - Fax:317-253-0607
Practice Address - Street 1:6507 FERGUSON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-1294
Practice Address - Country:US
Practice Address - Phone:317-819-8337
Practice Address - Fax:317-253-0607
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-30
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health