| Doctor Name: | SARAH SIDES |
| NPI Number: | 1023433042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.L.P.C |
| License Number: | 6401014123 |
| Business Practice Address: | 9315 Telegraph Road Redford, MI - 48239 |
| Business Phone Number: | 3134504500 |
| Business Fax Number: | |
| Mailing Address: | 11316 Jewett Ave, WARREN |
| State: | MI |
| Postal Code: | 480893827 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2014 |
| NPI Last Update Date: | 12/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401014123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |