Healthcare Provider Details

I. General information

NPI: 1700242666
Provider Name (Legal Business Name): SARA LYNN GARL LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 NATIONS DR STE 214
GURNEE IL
60031-9176
US

IV. Provider business mailing address

1790 NATIONS DR STE 214
GURNEE IL
60031-9176
US

V. Phone/Fax

Practice location:
  • Phone: 888-428-7890
  • Fax:
Mailing address:
  • Phone: 888-428-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180009842
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180009842
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: