Provider Demographics
NPI:1104332782
Name:MAURAKIS, SARA RACHELLE (LPC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:RACHELLE
Last Name:MAURAKIS
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 1:21641 RIDGETOP CIR STE 210
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6597
Mailing Address - Country:US
Mailing Address - Phone:571-541-8727
Mailing Address - Fax:
Practice Address - Street 1:21641 RIDGETOP CIR STE 210
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6597
Practice Address - Country:US
Practice Address - Phone:571-541-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701015387101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1104332782Medicaid