Healthcare Provider Details

I. General information

NPI: 1447723820
Provider Name (Legal Business Name): SARAH NOELLE ERICKSON LPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2019
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 SUNRISE AVE STE 300
ROSEVILLE CA
95661-4144
US

IV. Provider business mailing address

PO BOX 1520
YUBA CITY CA
95992-1520
US

V. Phone/Fax

Practice location:
  • Phone: 916-783-5207
  • Fax:
Mailing address:
  • Phone: 530-822-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number42929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: