Provider Demographics
NPI:1588773170
Name:PAGE, SARAH BETH (LCMHCS, LCAS, CCS)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:PAGE
Suffix:
Gender:F
Credentials:LCMHCS, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8740 GRANBY HILL RD
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7879
Mailing Address - Country:US
Mailing Address - Phone:704-219-9922
Mailing Address - Fax:
Practice Address - Street 1:8740 GRANBY HILL RD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-7879
Practice Address - Country:US
Practice Address - Phone:704-219-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS3804101YM0800X
NC3804101YP2500X
NC794101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional