SARAH LAKE LLPC
NPI 1356704555
Counselor - Mental Health in Wayne, MI
Active since April 04, 2016
About Sarah Lake Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH LAKE LLPC (NPI 1356704555) is an individual mental health provider in Wayne, Michigan, licensed in Michigan (6401015368) and active in the NPI registry since April 2016.
NPPES Registry Identity
NPI1356704555
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARAH LAKECredential: LLPC
Location Address34841 VETERANS PLZWayne, MI 48184-1733
Mailing Address34841 Veterans PlzWayne, MI 48184-1733 · (313) 292-7640
Phone(313) 292-7640
Sole ProprietorNo
Enumeration DateApril 4, 2016
✔ NPI 1356704555 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401015368
34841 VETERANS PLZ, Wayne, MI 48184
Other Names 1
Former Name (1)Sarah Pack
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
34841 VETERANS PLZ
WAYNE, MI 48184
WAYNE, MI 48184
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356704555, enumerated as an "individual" on April 04, 2016.
The provider is located at 34841 VETERANS PLZ WAYNE, MI 48184 and the phone number is (313) 292-7640.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.