Healthcare Provider Details

I. General information

NPI: 1831008937
Provider Name (Legal Business Name): SARA HARRISON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N 6TH ST
PHOENIX AZ
85004-3063
US

IV. Provider business mailing address

1331 S COLT DR
GILBERT AZ
85296-7340
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-8270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23850
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: