Provider Demographics
NPI:1487951422
Name:WITT, SARAH (MS, AMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WITT
Suffix:
Gender:F
Credentials:MS, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14924 S ARNOLD ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-2124
Mailing Address - Country:US
Mailing Address - Phone:815-267-8668
Mailing Address - Fax:
Practice Address - Street 1:24020 W RIVERWALK CT STE 100
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-7105
Practice Address - Country:US
Practice Address - Phone:815-577-8970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.000204106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist