Provider Demographics
NPI:1003787573
Name:BARLETTA, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BARLETTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 HALF DAY RD STE 145
Mailing Address - Street 2:
Mailing Address - City:BANNOCKBURN
Mailing Address - State:IL
Mailing Address - Zip Code:60015-1221
Mailing Address - Country:US
Mailing Address - Phone:312-843-0668
Mailing Address - Fax:
Practice Address - Street 1:2275 HALF DAY RD STE 145
Practice Address - Street 2:
Practice Address - City:BANNOCKBURN
Practice Address - State:IL
Practice Address - Zip Code:60015-1221
Practice Address - Country:US
Practice Address - Phone:312-843-0668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178020827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health