Provider Demographics
NPI:1447623954
Name:ADAMS, SARAH (LLPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1763 MELODY LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48380-2135
Mailing Address - Country:US
Mailing Address - Phone:248-889-1594
Mailing Address - Fax:
Practice Address - Street 1:1763 MELODY LN
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48380-2135
Practice Address - Country:US
Practice Address - Phone:248-889-1594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015023101YP2500X
247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional