Healthcare Provider Details

I. General information

NPI: 1235969791
Provider Name (Legal Business Name): SARAH REFVEM MPH, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 MCLAWS CIR
WILLIAMSBURG VA
23185-5645
US

IV. Provider business mailing address

8315 BARONS CT
WILLIAMSBURG VA
23188-6378
US

V. Phone/Fax

Practice location:
  • Phone: 757-503-7917
  • Fax: 855-823-3243
Mailing address:
  • Phone: 410-693-4797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016472
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10212
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: