Provider Demographics
NPI:1902693849
Name:RASINES, SARA ELENA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELENA
Last Name:RASINES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8004 INVERNESS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4011
Mailing Address - Country:US
Mailing Address - Phone:301-300-6991
Mailing Address - Fax:
Practice Address - Street 1:8004 INVERNESS RIDGE RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4011
Practice Address - Country:US
Practice Address - Phone:301-300-6991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool