Healthcare Provider Details
I. General information
NPI: 1508171893
Provider Name (Legal Business Name): SARAH L HORST LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/11/2010
Last Update Date: 06/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
618 CUMBERLAND ST
LEBANON PA
17042-5232
US
IV. Provider business mailing address
200 N 7TH ST
LEBANON PA
17046-5040
US
V. Phone/Fax
- Phone: 717-274-2741
- Fax: 717-274-5405
- Phone: 717-273-1710
- Fax: 717-273-1416
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC008356 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: