Healthcare Provider Details

I. General information

NPI: 1942854799
Provider Name (Legal Business Name): SARAH AIRGOOD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1866 SR 106 UNIT 4
CLIFFORD PA
18413
US

IV. Provider business mailing address

PO BOX 144
CLIFFORD PA
18413-0144
US

V. Phone/Fax

Practice location:
  • Phone: 570-536-0611
  • Fax:
Mailing address:
  • Phone: 570-536-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC011914
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: