Provider Demographics
NPI:1053811729
Name:GALATTA, SARAH ANN (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:GALATTA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E BROADWAY STE 320
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-4208
Mailing Address - Country:US
Mailing Address - Phone:573-476-5749
Mailing Address - Fax:
Practice Address - Street 1:111 E BROADWAY STE 320
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-4208
Practice Address - Country:US
Practice Address - Phone:573-476-5749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101Y00000X
MO2018013684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor