SARAH LAKE LLPC
NPI 1356704555
Counselor - Mental Health in Wayne, MI

Active since April 04, 2016
34841 VETERANS PLZ, WAYNE, MI 48184(313) 292-7640 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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.

Psychologist
34841 VETERANS PLZ
WAYNE, MI 48184
Social Worker (Clinical)
34841 VETERANS PLZ
WAYNE, MI 48184
Internal Medicine
34841 VETERANS PLZ
WAYNE, MI 48184
Physician Assistant
34841 VETERANS PLZ
WAYNE, MI 48184
Community/Behavioral Health
34841 VETERANS PLZ
WAYNE, MI 48184
Counselor (Professional)
34841 VETERANS PLZ
WAYNE, MI 48184
Nurse Practitioner (Psychiatric/Mental Health)
34841 VETERANS PLZ
WAYNE, MI 48184
Counselor (Professional)
34841 VETERANS PLZ
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.