Provider Demographics
NPI:1053165985
Name:LANDRETH, SARAH ROSALIE (LPCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSALIE
Last Name:LANDRETH
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 1:11882 W 27TH DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-7005
Mailing Address - Country:US
Mailing Address - Phone:303-503-1432
Mailing Address - Fax:
Practice Address - Street 1:2640 W 28TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4171
Practice Address - Country:US
Practice Address - Phone:303-503-1432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health