Provider Demographics
NPI:1720630924
Name:NODA, SARAH TRUMBLE (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:TRUMBLE
Last Name:NODA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:TRUMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2370 E STADIUM BLVD # 2062
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4811
Mailing Address - Country:US
Mailing Address - Phone:734-489-1645
Mailing Address - Fax:
Practice Address - Street 1:2370 E STADIUM BLVD # 2062
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4811
Practice Address - Country:US
Practice Address - Phone:734-489-1645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401223503101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health