Healthcare Provider Details

I. General information

NPI: 1376460055
Provider Name (Legal Business Name): SARAH ELIZABETH CAMPBELL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 KISKER RD
SAINT CHARLES MO
63304-0602
US

IV. Provider business mailing address

7041 DARTMOUTH AVE APT A
SAINT LOUIS MO
63130-2315
US

V. Phone/Fax

Practice location:
  • Phone: 636-344-0580
  • Fax:
Mailing address:
  • Phone: 314-287-3032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026028682
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: