Provider Demographics
NPI:1215304811
Name:WARREN, SARAH (LMFT, LCAC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WARREN
Suffix:
Gender:F
Credentials:LMFT, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-1508
Mailing Address - Country:US
Mailing Address - Phone:812-821-7495
Mailing Address - Fax:
Practice Address - Street 1:2218 E MARKET ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-1508
Practice Address - Country:US
Practice Address - Phone:812-821-7495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN8700443A101YA0400X
IN35001732A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)