Healthcare Provider Details

I. General information

NPI: 1154791929
Provider Name (Legal Business Name): SARAH E. LOUGHRIDGE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH E. MARTY

II. Dates (important events)

Enumeration Date: 10/05/2015
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 CYPRESS DR
ROLLA MO
65401-3804
US

IV. Provider business mailing address

808 CYPRESS DR
ROLLA MO
65401-3804
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-5800
  • Fax:
Mailing address:
  • Phone: 719-301-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0016949
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2021046651
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: