Provider Demographics
NPI:1053939645
Name:BILLINGSLEY, SARAH (LPCC, LICDC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BILLINGSLEY
Suffix:
Gender:
Credentials:LPCC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PENINSULA
Mailing Address - State:OH
Mailing Address - Zip Code:44264-9674
Mailing Address - Country:US
Mailing Address - Phone:216-336-7731
Mailing Address - Fax:
Practice Address - Street 1:1653 MERRIMAN RD STE 203
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5287
Practice Address - Country:US
Practice Address - Phone:216-336-7731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2303431101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional