Healthcare Provider Details

I. General information

NPI: 1386357036
Provider Name (Legal Business Name): SARAH ALLIE LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2022
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BAILEY ST STE 2
EAST LANSING MI
48823-4688
US

IV. Provider business mailing address

300 BAILEY ST STE 2
EAST LANSING MI
48823-4688
US

V. Phone/Fax

Practice location:
  • Phone: 517-273-2706
  • Fax: 517-798-5677
Mailing address:
  • Phone: 517-273-2706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6361005097
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: