Provider Demographics
NPI:1366280885
Name:LARTEY, SARAH ADJOA DARKOWAA
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ADJOA DARKOWAA
Last Name:LARTEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 FOOTHILLS RD APT Q74
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-3632
Mailing Address - Country:US
Mailing Address - Phone:575-463-4506
Mailing Address - Fax:
Practice Address - Street 1:118 N MAIN ST.
Practice Address - Street 2:LA VIDA PROJECT
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001
Practice Address - Country:US
Practice Address - Phone:575-556-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker