Provider Demographics
NPI:1528338803
Name:ISENHOUR, SABRINA DAWN (LPC, LMFTA)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:DAWN
Last Name:ISENHOUR
Suffix:
Gender:F
Credentials:LPC, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 S ELM EUGENE ST
Mailing Address - Street 2:BOX 54
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-2200
Mailing Address - Country:US
Mailing Address - Phone:336-908-3694
Mailing Address - Fax:
Practice Address - Street 1:1451 S ELM EUGENE ST
Practice Address - Street 2:BOX 54
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-2200
Practice Address - Country:US
Practice Address - Phone:336-908-3694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9048101YP2500X
NC9017A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist