Provider Demographics
NPI:1003500471
Name:LUPKA, SARAH VIRGINIA (MA, PLPC, LCMHC-A)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:VIRGINIA
Last Name:LUPKA
Suffix:
Gender:F
Credentials:MA, PLPC, LCMHC-A
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:
Other - Last Name:LUPKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1501 E 7TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2455
Mailing Address - Country:US
Mailing Address - Phone:980-272-0647
Mailing Address - Fax:
Practice Address - Street 1:1501 E 7TH ST STE 6
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2455
Practice Address - Country:US
Practice Address - Phone:980-272-0647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2025-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20292101YM0800X
MO2023023586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health