Provider Demographics
NPI:1053012575
Name:SARAGAS, TOMMIE A (LPCC)
Entity type:Individual
Prefix:DR
First Name:TOMMIE
Middle Name:A
Last Name:SARAGAS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1444
Mailing Address - Country:US
Mailing Address - Phone:606-273-8451
Mailing Address - Fax:
Practice Address - Street 1:400 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1444
Practice Address - Country:US
Practice Address - Phone:606-273-8451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY102125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health