Healthcare Provider Details

I. General information

NPI: 1912200999
Provider Name (Legal Business Name): SARAH KATHLEEN WEBER LP, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2010
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6692 SPRING ARBOR RD
JACKSON MI
49201-9812
US

IV. Provider business mailing address

6692 SPRING ARBOR RD
JACKSON MI
49201-9812
US

V. Phone/Fax

Practice location:
  • Phone: 517-962-5867
  • Fax: 517-750-3673
Mailing address:
  • Phone: 517-962-5867
  • Fax: 517-750-3673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012145
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301019886
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: