Provider Demographics
NPI:1437808649
Name:GEOGHEGAN, SARA ELIZABETH (LPC-HMSP (TEMP))
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:GEOGHEGAN
Suffix:
Gender:F
Credentials:LPC-HMSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 MURFREESBORO RD STE 217
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5081
Mailing Address - Country:US
Mailing Address - Phone:615-205-9689
Mailing Address - Fax:
Practice Address - Street 1:1650 MURFREESBORO RD STE 217
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5081
Practice Address - Country:US
Practice Address - Phone:615-205-9689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5649101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional