Provider Demographics
NPI:1851184600
Name:TREUTEL, SARAH ELISABETH (LMSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELISABETH
Last Name:TREUTEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 DEBUYS RD APT 166
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-3518
Mailing Address - Country:US
Mailing Address - Phone:205-493-2655
Mailing Address - Fax:
Practice Address - Street 1:9414 THREE RIVERS RD STE 3
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-3861
Practice Address - Country:US
Practice Address - Phone:888-799-5294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker