Healthcare Provider Details

I. General information

NPI: 1306532361
Provider Name (Legal Business Name): SARAH THEIMER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 HAMLIN DR
FREDERICKSBURG VA
22405-3368
US

IV. Provider business mailing address

78 HAMLIN DR
FREDERICKSBURG VA
22405-3368
US

V. Phone/Fax

Practice location:
  • Phone: 301-246-2006
  • Fax:
Mailing address:
  • Phone: 301-246-2006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701011774
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: