Provider Demographics
NPI:1053577338
Name:STUCHELL, SARAH (MFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:STUCHELL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6315
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29938-6315
Mailing Address - Country:US
Mailing Address - Phone:949-280-1441
Mailing Address - Fax:
Practice Address - Street 1:19 SHELTER COVE LN
Practice Address - Street 2:STE 204
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-3541
Practice Address - Country:US
Practice Address - Phone:949-280-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44921106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist