Provider Demographics
NPI:1902476252
Name:HANEY, SARAH JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:HANEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 TOWER DR STE 420
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2827
Mailing Address - Country:US
Mailing Address - Phone:734-369-1509
Mailing Address - Fax:
Practice Address - Street 1:901 TOWER DR STE 420
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2827
Practice Address - Country:US
Practice Address - Phone:734-369-1509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451019543101Y00000X
101YP2500X
MI6401223710101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional