Provider Demographics
NPI:1154791929
Name:LOUGHRIDGE, SARAH E (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:LOUGHRIDGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:MARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:808 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-3804
Mailing Address - Country:US
Mailing Address - Phone:719-301-5800
Mailing Address - Fax:
Practice Address - Street 1:808 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-3804
Practice Address - Country:US
Practice Address - Phone:719-301-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0016949101YM0800X
MO2021046651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health