# SANDRA D. STREET MA, LPC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Street Consulting & Behavioral Serv. LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750592903
- **Authorized official:** MS. SANDRA D. STREET MA, LPC (OWNER)
- **Authorized official phone:** (304) 242-2817

## Contact information

- **Practice address:** 40 12TH ST, SUITE 201, WHEELING, WV 26003-3279
- **Practice address phone:** (304) 242-2817
- **Practice address fax:** (304) 242-5161
- **Mailing address:** PO BOX 6101, WHEELING, WV 26003-0736
- **Mailing address phone:** (304) 242-2817
- **Mailing address fax:** (304) 242-5161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 10053 | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 10053 | — | — |
| 101YP2500X | Professional Counselor | 1135 | WV | Yes |
| 101YP2500X | Professional Counselor | 37956 | WV | — |
| 101YP2500X | Professional Counselor | C0004992 | OH | — |

## Other

- **Enumeration date:** 05/26/2007
- **Last updated:** 03/20/2014