Provider Demographics
NPI:1932821907
Name:CARVER, SARAH VIRGINIA (LCMHCA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:VIRGINIA
Last Name:CARVER
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 WOODS RD APT O
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-6204
Mailing Address - Country:US
Mailing Address - Phone:336-816-3284
Mailing Address - Fax:
Practice Address - Street 1:3143 S STRATFORD RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5948
Practice Address - Country:US
Practice Address - Phone:336-893-9705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health