Healthcare Provider Details

I. General information

NPI: 1013330570
Provider Name (Legal Business Name): SARAH MARIE CREVELING LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2014
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 E NC HIGHWAY 54 STE C
DURHAM NC
27713-2483
US

IV. Provider business mailing address

109 NAVAN GLASS DR
DURHAM NC
27703-6433
US

V. Phone/Fax

Practice location:
  • Phone: 919-682-5300
  • Fax: 919-682-5322
Mailing address:
  • Phone: 202-615-7344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14481
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: