Provider Demographics
NPI:1063153708
Name:GREER, SARAH ASHLEY (LCPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ASHLEY
Last Name:GREER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 S MICHIGAN AVE APT 3311
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4865
Mailing Address - Country:US
Mailing Address - Phone:734-223-4067
Mailing Address - Fax:
Practice Address - Street 1:1720 S MICHIGAN AVE APT 3311
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-4865
Practice Address - Country:US
Practice Address - Phone:734-223-4067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IL180.016651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor