Individual
SARAH ROMONA MALANCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
376 HERRON DR APT 6, NASHVILLE, TN 37210-4658
(615) 538-7518
(615) 988-7088
Mailing address
376 HERRON DR APT 6, NASHVILLE, TN 37210-4658
(615) 538-7518
(615) 988-7088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000002753
TN
101YP2500X
Professional Counselor
LPC0000002753
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529321
—
TN
Enumeration date
06/27/2012
Last updated
07/11/2019
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