Provider Demographics
NPI:1902487945
Name:LARIMORE, SARAH YASMIN (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:YASMIN
Last Name:LARIMORE
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 MANCHESTER RD STE 509
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4586
Mailing Address - Country:US
Mailing Address - Phone:239-682-7377
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 509
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4586
Practice Address - Country:US
Practice Address - Phone:239-682-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014638101YM0800X
IL180.013693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health