Provider Demographics
NPI:1609676857
Name:STIEGLITZ, SARAH (MA, LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:STIEGLITZ
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14813 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:LEO CEDARVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46765-9714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 1615
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3722
Practice Address - Country:US
Practice Address - Phone:773-492-0784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.021203101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional