Healthcare Provider Details

I. General information

NPI: 1922651520
Provider Name (Legal Business Name): SARA ELIZABETH GOINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 CROSSINGS CENTER DR STE A
FOREST VA
24551-5081
US

IV. Provider business mailing address

1443 CROSSINGS CENTER DR STE A
FOREST VA
24551-5081
US

V. Phone/Fax

Practice location:
  • Phone: 434-219-5621
  • Fax: 434-305-1072
Mailing address:
  • Phone: 434-219-5621
  • Fax: 434-305-1072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701008410
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: