Provider Demographics
NPI:1285775379
Name:DAVIS, SARAH (LCMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-1249
Mailing Address - Country:US
Mailing Address - Phone:603-991-7382
Mailing Address - Fax:888-481-1880
Practice Address - Street 1:139 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1249
Practice Address - Country:US
Practice Address - Phone:603-991-7382
Practice Address - Fax:888-481-1880
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health