Provider Demographics
NPI:1922551225
Name:LAIL, SARA-FRANCES (MS, SSP, LPES)
Entity type:Individual
Prefix:MRS
First Name:SARA-FRANCES
Middle Name:
Last Name:LAIL
Suffix:
Gender:F
Credentials:MS, SSP, LPES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360-2343
Mailing Address - Country:US
Mailing Address - Phone:864-681-3625
Mailing Address - Fax:
Practice Address - Street 1:301 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-2343
Practice Address - Country:US
Practice Address - Phone:864-681-3625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4622103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool