Provider Demographics
NPI:1427874445
Name:IRWIN, SARAH (PLPC PLMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:IRWIN
Suffix:
Gender:F
Credentials:PLPC PLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:LA
Mailing Address - Zip Code:71456-9711
Mailing Address - Country:US
Mailing Address - Phone:318-614-3872
Mailing Address - Fax:
Practice Address - Street 1:3636 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71302-3317
Practice Address - Country:US
Practice Address - Phone:318-704-6157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9565101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional