Provider Demographics
NPI:1689422834
Name:MCNEELY, SARAH ANN (MS, LPC-IT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:MS, LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 W BROWN DEER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-0004
Mailing Address - Country:US
Mailing Address - Phone:414-446-8154
Mailing Address - Fax:
Practice Address - Street 1:5600 W BROWN DEER RD STE 106
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-0004
Practice Address - Country:US
Practice Address - Phone:414-446-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7838226101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor