Provider Demographics
NPI:1306280623
Name:STEWART, SARAH ELIZABETH (LPC)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:STEWART
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 1:119 MAIN STREET
Mailing Address - Street 2:PO BOX 106
Mailing Address - City:PRICEDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15072
Mailing Address - Country:US
Mailing Address - Phone:412-491-6249
Mailing Address - Fax:724-243-3772
Practice Address - Street 1:1215 N GREENGATE RD STE D
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4081
Practice Address - Country:US
Practice Address - Phone:724-832-1700
Practice Address - Fax:724-853-6704
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006537101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor