Healthcare Provider Details

I. General information

NPI: 1285314476
Provider Name (Legal Business Name): SARAH LEWIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH DUFFEY

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 WALNUT ST
JOHNSTOWN PA
15901-1625
US

IV. Provider business mailing address

119 WALNUT ST
JOHNSTOWN PA
15901-1625
US

V. Phone/Fax

Practice location:
  • Phone: 814-534-0745
  • Fax:
Mailing address:
  • Phone: 814-534-0745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC020573
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: