Provider Demographics
NPI:1154955847
Name:DAVIES, SARAH (LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DAVIES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANGHARAD
Other - Last Name:HASEGAWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:206 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214-1621
Mailing Address - Country:US
Mailing Address - Phone:315-446-5903
Mailing Address - Fax:
Practice Address - Street 1:188 GENESEE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3324
Practice Address - Country:US
Practice Address - Phone:315-253-4630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010293101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health