Provider Demographics
NPI:1578139309
Name:MAWDSLEY, SARAH EMELIA (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:EMELIA
Last Name:MAWDSLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18450 SW LAPAZ CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-5271
Mailing Address - Country:US
Mailing Address - Phone:512-413-2802
Mailing Address - Fax:
Practice Address - Street 1:1909 MOUNTAIN VIEW LN STE 202
Practice Address - Street 2:
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-2893
Practice Address - Country:US
Practice Address - Phone:999-999-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health