Healthcare Provider Details

I. General information

NPI: 1437599412
Provider Name (Legal Business Name): SARAH KNIGHT UNDERDUE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ANN BROWN LPC

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 SAMFORD ST
ALBERTA VA
23821-2326
US

IV. Provider business mailing address

31 SAMFORD ST
ALBERTA VA
23821-2326
US

V. Phone/Fax

Practice location:
  • Phone: 804-835-3089
  • Fax:
Mailing address:
  • Phone: 804-835-3089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701005486
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: