Provider Demographics
NPI:1235506544
Name:FLOCK, SARAH (LPC, MED, RPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FLOCK
Suffix:
Gender:F
Credentials:LPC, MED, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 BROOKTREE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9227
Mailing Address - Country:US
Mailing Address - Phone:412-310-6918
Mailing Address - Fax:
Practice Address - Street 1:9500 BROOKTREE RD STE 104
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9227
Practice Address - Country:US
Practice Address - Phone:412-525-6594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014031263101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional