Provider Demographics
NPI:1437599412
Name:UNDERDUE, SARAH KNIGHT (LPC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KNIGHT
Last Name:UNDERDUE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:31 SAMFORD ST
Mailing Address - Street 2:
Mailing Address - City:ALBERTA
Mailing Address - State:VA
Mailing Address - Zip Code:23821-2326
Mailing Address - Country:US
Mailing Address - Phone:804-835-3089
Mailing Address - Fax:
Practice Address - Street 1:31 SAMFORD ST
Practice Address - Street 2:
Practice Address - City:ALBERTA
Practice Address - State:VA
Practice Address - Zip Code:23821-2326
Practice Address - Country:US
Practice Address - Phone:804-835-3089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-05
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional