Provider Demographics
NPI:1104506997
Name:KNIGHT, SARAH LEVINS (BA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LEVINS
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BETH
Other - Last Name:LEVINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8303 JOHN WOOD LN
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-8994
Mailing Address - Country:US
Mailing Address - Phone:901-216-0704
Mailing Address - Fax:
Practice Address - Street 1:1950 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2707
Practice Address - Country:US
Practice Address - Phone:901-213-7867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)