Healthcare Provider Details

I. General information

NPI: 1689963712
Provider Name (Legal Business Name): SARAH DAWN ELAINE PENSTON ATR-BC, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH NEWTON PENSTON MS, ATR-BC, LPC, NCC

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 COUNTRYSIDE DR
RINGGOLD VA
24586-4417
US

IV. Provider business mailing address

1601 COUNTRYSIDE DR
RINGGOLD VA
24586-4417
US

V. Phone/Fax

Practice location:
  • Phone: 757-524-1357
  • Fax: 757-296-0837
Mailing address:
  • Phone: 757-524-1357
  • Fax: 757-296-0837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701006213
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: