Provider Demographics
NPI:1538525811
Name:RAINES, SARAH BRINKLEY (MS, LPCA, NCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BRINKLEY
Last Name:RAINES
Suffix:
Gender:F
Credentials:MS, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 MUIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2954
Mailing Address - Country:US
Mailing Address - Phone:828-407-0839
Mailing Address - Fax:
Practice Address - Street 1:29 MUIRFIELD DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-2954
Practice Address - Country:US
Practice Address - Phone:828-407-0839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-03
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional